Organization Active NPI

Rodolfo H Gonzalez MD. PC

  • Specialist
  • Reston, VA
National Provider Identifier
1003953928
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101222040 Issued in VA
Legal business name
RODOLFO H GONZALEZ MD. PC
Practice address
1860 Town Center Dr
Suite 350
Reston, VA 20190-5896
Phone
(703) 435-8256
Fax
(703) 435-3337
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rodolfo Hector Gonzalez, MD
Title
Owner
Phone
(703) 735-8256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101222040 VA Primary

Addresses

Primary practice location

1860 Town Center Dr
Suite 350
Reston, VA 20190-5896

Mailing address

1860 Town Center Dr
Suite 350
Reston, VA 20190-5896
Phone (703) 435-8256

National Provider Directory

National Provider Directory

Locations

8301 Arlington Blvd
Ste 409
Fairfax, VA 22031
Phone (703) 208-7357

1860 Town Center Dr
Ste 350
Reston, VA 20190
Phone (703) 224-9999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1003953928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 350",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-435-8256",
            "fax_number": "703-435-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 350",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-435-8256",
            "fax_number": "703-435-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO H GONZALEZ MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-735-8256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101222040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.