Healthcare Provider Details

I. General information

NPI: 1679797369
Provider Name (Legal Business Name): ALAN GONZALEZ-COTA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 COURTHOUSE SQ STE 204
ROCKVILLE MD
20850-2338
US

IV. Provider business mailing address

30 W GUDE DR STE 375
ROCKVILLE MD
20850-4300
US

V. Phone/Fax

Practice location:
  • Phone: 301-962-4278
  • Fax:
Mailing address:
  • Phone: 301-962-4278
  • Fax: 833-781-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberC1-0009637
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD75394
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberC1-0009637
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD0075394
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: