Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Edna Janisse Caraballo-Gonzalez, PA

Individual provider Physician Assistant · NPI 1578698940

Mrs. Edna Janisse Caraballo-Gonzalez, PA is a Physician Assistant in San Antonio, Texas. Qualified in 2006, 20 years ago. Practices with Physician Primecare, Inc, a 70-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1802 SW Military Dr
San Antonio, TX 78221-1431
Phone: (210) 924-2337
Fax: (210) 923-2208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15283 (TX)

Record details

NPI number1578698940
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESMarch 29, 2024
Certification dateOctober 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Physician Primecare, Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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