Juan H Gonzalez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J9686 Issued in TX

Legal business name

JUAN H GONZALEZ MD PA

Doing business as

Valley Family Clinic

Practice address

5460 Paredes Line Rd
Suite 209
Brownsville, TX 78526-9740

Phone

(956) 554-7005

Fax

(956) 554-3288

NPI assigned

Oct 2, 2006

Last updated

Aug 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan H Gonzalez, MD

Title

President

Phone

(956) 554-7005

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Valley Family Clinic Doing business as

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1053404954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "78575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 PAREDES LINE RD",
            "address_2": "SUITE 209",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269740",
            "telephone_number": "956-554-7005",
            "fax_number": "956-554-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN H GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-554-7005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "133848100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (THSTEPS)",
            "identifier": "092553902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092553901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose S Cisneros MD PA
• Josephat Escobedo (Escobedos Pharmacy)
• Javier A Jover, M.D.
• JRG Medical Equipment LP
• Juan Diego Gonzalez MD PA (West Alton Gloor Medical)
• Juan L Rocha DPM
• Erika Janett Juarez, NP-C
• Jose M Juarez
• Roberto Jesus Juarez, LMFT
• Ruth Juarez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.