Organization Active NPI

Dino Jude Gonzalez MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1194913145
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9912 Issued in NV
Legal business name
DINO JUDE GONZALEZ MD LTD
Practice address
2300 W Charleston Blvd
Suite 265
Las Vegas, NV 89102-2149
Phone
(702) 877-8629
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Dino Jude Gonzalez, M.D.
Title
President
Phone
(702) 808-5759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 9912 NV Primary

Addresses

Primary practice location

2300 W Charleston Blvd
Suite 265
Las Vegas, NV 89102-2149

Mailing address

705 Jacobs Ladder PL
Las Vegas, NV 89138-7540
Phone (702) 808-5759

Other names 1

  • Dino Gonzalez Internal Medicine Former legal business name

National Provider Directory

National Provider Directory

Locations

7040 Laredo St
Ste G
Las Vegas, NV 89117
Phone (702) 353-1857

2300 W Charleston Blvd
Ste 265
Las Vegas, NV 89102
Phone (702) 877-5269

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1194913145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 JACOBS LADDER PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891387540",
            "telephone_number": "702-808-5759",
            "fax_number": "702-877-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W CHARLESTON BLVD",
            "address_2": "SUITE 265",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022149",
            "telephone_number": "702-877-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINO JUDE GONZALEZ MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DINO",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-808-5759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dino Gonzalez Internal Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.