Individual provider Active NPI

Guadalupe Carlos Gonzales Jr., L.AC.

  • Acupuncturist
  • San Antonio, TX
National Provider Identifier
1225488372
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00506 Issued in TX
Practice address
7959 Broadway St
Suite 602
San Antonio, TX 78209-2667
Phone
(210) 320-7777
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00506 TX Primary

Addresses

Primary practice location

7959 Broadway St
Suite 602
San Antonio, TX 78209-2667

Mailing address

7959 Broadway St
Suite 602
San Antonio, TX 78209-2667
Phone (210) 320-7777

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
AC00506TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1225488372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 BROADWAY ST",
            "address_2": "SUITE 602",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092667",
            "telephone_number": "210-320-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 BROADWAY ST",
            "address_2": "SUITE 602",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092667",
            "telephone_number": "210-320-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "GUADALUPE",
        "middle_name": "CARLOS",
        "name_suffix": "Jr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.