Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modesto J Gonzalez, MD

Individual provider General Practice Physician · NPI 1629087317

Modesto J Gonzalez, MD is a General Practice in Aguadilla, Puerto Rico. Qualified in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
47
Licensed in
PR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Carr 107 Km 2 9 Bo Borinquen
Aguadilla, PR 00603
Phone: (787) 891-7428
Fax: (787) 891-7428

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Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 6296 (PR)

Record details

NPI number1629087317
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022
Mailing addressPo Box 250128, Aguadilla, PR 00604-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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