Organization Active NPI

Hector Lucas Rodriguez Gonzalez PA

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1215783220
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HECTOR LUCAS RODRIGUEZ GONZALEZ PA
Practice address
2311 N Mesa St Ste D
El Paso, TX 79902-3575
Phone
(915) 740-8615
NPI assigned
Apr 29, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Hector Lucas Rodriguez Gonzalez, MDNPI 1780091520
Title
Medical Director
Phone
(915) 701-5872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2311 N Mesa St Ste D
El Paso, TX 79902-3575

Mailing address

2311 N Mesa St Ste D
El Paso, TX 79902-3575
Phone (915) 292-4626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603001649 TX Part B Supplier - Clinic/Group Practice 4688116940 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2312328Hector Lucas Rodriguez Gonzalez PA2311 N Mesa Street Suite D, El Paso, TX 79902Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GECFDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1215783220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-292-4626",
            "fax_number": "915-292-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-740-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR LUCAS RODRIGUEZ GONZALEZ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ GONZALEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "915-701-5872",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.