Virnalisis M Gonzalez-Marrero, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M4105 Issued in TX

Practice address

10007 Huebner Rd
BLDG a Suite 102
San Antonio, TX 78240-1675

Phone

(210) 268-4941

Fax

(210) 695-7730

NPI assigned

Aug 9, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Skin Center of San Antonio, PLLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1700199692
  Medicare reassignment NPD Authorized official
• Epiphany Dermatology PA

  • Dermatology Physician
  • Waco, TX
  • NPI 1043615263
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1194735290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591455",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590122",
            "telephone_number": "210-268-4931",
            "fax_number": "210-695-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 HUEBNER RD",
            "address_2": "BLDG A SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401675",
            "telephone_number": "210-268-4941",
            "fax_number": "210-695-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-MARRERO",
        "first_name": "VIRNALISIS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M4105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Adolfo Gonzalez Villalba, M.D.
• Maria Antonia Gonzalez Villarreal, LMSW
• Jordan Gonzalez-Aguillon
• Veronica Mayela Gonzalez-Brown, M.D.
• Adriana Gonzalez-Guerrero, LPC
• Melanie P Gonzalez-Oliva, O.D.
• Hilda Brenda Gonzalez-Saenz, M. D.
• Edulfo Gonzalez-Sanchez, M.D.
• Lizmarie Gonzalez-Vega, M.D.
• Lydia Linda Gonzalez-Villarreal, DDS

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.