Individual provider Active NPI

Eduardo Gonzalez, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1306317714
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140438 Issued in TX
Practice address
19272 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3372
Phone
(956) 454-6722
NPI assigned
Dec 10, 2018
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140438 TX Primary

Addresses

Primary practice location

19272 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3372

Mailing address

19272 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3372

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625000593 TX Practitioner - Nurse Practitioner 4284968330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates of South Texas, PLLCGroup PAC ID 9931103447, 17 clinicians

Practice addresses (Care Compare)

19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3372
Phone (210) 265-8851

Merit-based Incentive Payment System (MIPS)

Final score
73.06 of 100Reported as group
Quality
83.27
Promoting interoperability
90
Improvement activities
40
Cost
35.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of South Texas, PLLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

19272 Stone Oak Pkwy
Ste 101
San Antonio, TX 78258
Phone (210) 265-8851

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1306317714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583372",
            "telephone_number": "956-454-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDUARDO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.