Active NPI
Rodolfo H Gonzalez MD. PC
- Specialist
- Reston, VA
National Provider Identifier
1003953928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101222040
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.