Maritza Ann Gonzalez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24827 Issued in TX

Practice address

3655 Fredricksburg Rd Ste 112
San Antonio, TX 78201-3859

Phone

(210) 773-9990

Fax

(210) 733-1878

NPI assigned

Jul 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Texas Dental Associates, L.P.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1124246533
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1033348115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012997",
            "telephone_number": "713-663-7960",
            "fax_number": "713-349-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 FREDRICKSBURG RD STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013859",
            "telephone_number": "210-773-9990",
            "fax_number": "210-733-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARITZA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Celine Gonzalez
• Marisa G Gonzalez
• Marisol Gonzalez
• Marissa Gonzalez
• Marissa Alejandra Gonzalez, DO
• Martha E Gonzalez, MOT
• Martha Rebecca Gonzalez, LVN
• Maryjo Gonzalez, BT
• Mayra Gonzalez, CCP
• Melanie Ann Gonzalez, MSN-NE BC RN

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.