NPI 1144896572 · live from the CMS NPI Registry
Iraida Alvarez Gonzalez, PA-C
Physician Assistant, Surgical in Hoboken, NJ. National Provider Identifier 1144896572, active.
NPI record
| NPI | 1144896572 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 1320 Adams St, Hoboken, NJ 07030 |
| Practice phone | 201-308-6622 |
| Mailing address | 124 7th Ave, Paterson, NJ 07524 |
| Enumerated | May 27, 2021 |
| Last updated | December 22, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | 026673 (NY) |
| Physician Assistant, Surgical primary | 363AS0400X | 25MP00644600 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.