ALYSSA GONZALES PA NPI 1992990436

NPI Information

  • NPI: 1992990436
  • Provider Name: ALYSSA GONZALES, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 2411 CABEZON BLVD SE STE 103
    RIO RANCHO, NM
    ZIP 87124
  • Phone: (505) 883-9570

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NPI Details

Alyssa Gonzales, PA is a medical physician assistant in Rio Rancho, NM. Alyssa Gonzales, PA NPI is 1992990436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2411 CABEZON BLVD SE STE 103
RIO RANCHO, NM
ZIP 87124-514
Phone: (505) 883-9570
Fax: (505) 883-4163

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA2005-0043NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100739847MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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