Provider Demographics
NPI:1992597611
Name:GONZALEZ PADILLA, NILZA (LIC 001261-PA)
Entity type:Individual
Prefix:DR
First Name:NILZA
Middle Name:
Last Name:GONZALEZ PADILLA
Suffix:
Gender:F
Credentials:LIC 001261-PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51431
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-1431
Mailing Address - Country:US
Mailing Address - Phone:787-523-3735
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 51431
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00950-1431
Practice Address - Country:US
Practice Address - Phone:787-523-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001261-P.A.363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical