Authorities said Gonzalez, now 31, jumped into the driver's seat of the ambulance on the evening of March 16, 2017, when Arroyo got out of the vehicle after being flagged down by a pedestrian on a Bronx street. She and her partner had been on their way to respond to a distress call about a pregnant woman.
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Prosecutors said Gonzalez ran over Arroyo before crashing into cars.
A man was convicted of killing an emergency medical technician in 2017. The man hit the woman with an ambulance when she got out to help someone.
At a news conference after the conviction, Bronx District Attorney Darcel Clark said, "We finally, finally get justice for her," The New York Times reported.
At the time, police said Gonzalez, who has a history of arrests and violence, was high on drugs. His legal representation said he was mentally ill.
His trial — delayed for several years as he underwent psychiatric evaluations to determine his mental fitness — started last month.