Active NPI
Raymundo Gonzalez, APRN
- Acute Care Clinical Nurse Specialist
- El Paso, TX
National Provider Identifier
1063955813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- AP132671
- Practice address
- 3009 Sylvan Lake PL
El Paso, TX 79936-3352 - Phone
- (915) 701-7052
- NPI assigned
- Nov 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | AP132671 | TX | Primary |
Addresses
Primary practice location
3009 Sylvan Lake PL
El Paso, TX 79936-3352
Mailing address
3009 Sylvan Lake PL
El Paso, TX 79936-3352
Phone (915) 701-7052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP132671 | TX | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1063955813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 SYLVAN LAKE PL",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363352",
"telephone_number": "915-701-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 SYLVAN LAKE PL",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363352",
"telephone_number": "915-701-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "RAYMUNDO",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-28",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "TX",
"license": "AP132671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.