Juan Diego Gonzalez MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JUAN DIEGO GONZALEZ MD PA

Doing business as

West Alton Gloor Medical

Practice address

3125 W Alton Gloor Blvd
Brownsville, TX 78520-3506

Phone

(956) 544-5700

Fax

(956) 350-9573

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Juan Diego Gonzalez, MDNPI 1083140917

Title

Authorized Official

Phone

(956) 544-5700

Specialties & licenses 1

Addresses

Other names 1

• West Alton Gloor Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Diego Gonzalez, MD

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1083140917
  Medicare reassignment NPD Authorized official
• Mauricio Xavier Rodriguez, PA

  • Medical Physician Assistant
  • Brownsville, TX
  • NPI 1699308676

  Internal Medicine

  Medicare reassignment NPD
• Ricardo Abdom Abraham, MD

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1831182815
  NPD

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1023702255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 W ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203506",
            "telephone_number": "956-544-5700",
            "fax_number": "956-350-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 W ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203506",
            "telephone_number": "956-544-5700",
            "fax_number": "956-350-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN DIEGO GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DIEGO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "956-544-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Alton Gloor Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose R Martinez Dba: Dulce Hogar Adult Day Care Center
• Jose S Cisneros MD PA
• Josephat Escobedo (Escobedos Pharmacy)
• Javier A Jover, M.D.
• JRG Medical Equipment LP
• Juan H Gonzalez MD PA (Valley Family Clinic)
• Juan L Rocha DPM
• Erika Janett Juarez, NP-C
• Jose M Juarez
• Roberto Jesus Juarez, LMFT

• Internal Medicine Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.