Individual provider Active NPI

Patricia D Gonzalez, RVT

  • Vascular Specialist/Technologist Cardiovascular
  • Las Cruces, NM
National Provider Identifier
1164910568
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
License
305S00000X Issued in NM
Practice address
3850 Foothills Rd Ste 3
Las Cruces, NM 88011-4632
Phone
(575) 522-5511
Fax
(575) 522-0825
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist Cardiovascular 246XC2903X 305S00000X NM Primary
Vascular Specialist/Technologist Cardiovascular 246XC2903X 111388 NM

Addresses

Primary practice location

3850 Foothills Rd Ste 3
Las Cruces, NM 88011-4632

Mailing address

PO Box 13271
Las Cruces, NM 88013-3271
Phone (575) 932-9350

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111388NMMDVascular Specialist/Technologist
305S00000XNMMDVascular Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1164910568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13271",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133271",
            "telephone_number": "575-932-9350",
            "fax_number": "575-522-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 FOOTHILLS RD STE 3",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114632",
            "telephone_number": "575-522-5511",
            "fax_number": "575-522-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "credential": "RVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "NM",
            "license": "305S00000X",
            "primary": true
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "NM",
            "license": "111388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.