Active NPI
Dagoberto I Gonzalez Jr., MD
- Obstetrics & Gynecology Physician
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K3902
- Practice address
- 7109 Bartlett Ave Sute 101
Laredo, TX 78041 - Phone
- (956) 717-5775
- Fax
- (956) 717-5875
- NPI assigned
- Nov 10, 2005
- Last updated
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | K3902 | TX | Primary |
Addresses
Primary practice location
7109 Bartlett Ave Sute 101
Laredo, TX 78041
Mailing address
7109 Bartlett Ave Sute 101
Laredo, TX 78041
Phone (956) 717-5775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1654683-01 | Medicaid | TX | |
| 8M7440 | Other | TX | BLUE CROSS BLUE SHIELD |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Texas a & M University System, HSC, College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7109 N Bartlett Ave
Suite 101
Laredo, TX 78041-6473
Phone (956) 717-5775
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrics and Gynecology Associates of Laredo, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Gateway Community Health Center Inc | Current | Accepting new patients | |
| Gateway Community Health Center, Inc | Current | Accepting new patients | |
| Gateway Community Health Center, Inc | Current | Accepting new patients | |
| Laredo Texas Hospital Company LP | Past | Accepting new patients |
Locations
10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2068
1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642
7109 N Bartlett Ave
Ste 101
Laredo, TX 78041
Phone (956) 717-5775
Interoperability endpoints
- dagoberto.gonzalez@tx013.digichart.direct-ci.com
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Laredo, TX
- NPI 1114908803
-
- Federally Qualified Health Center (FQHC)
- Laredo, TX
- NPI 1720192792
-
- Federally Qualified Health Center (FQHC)
- Laredo, TX
- NPI 1639952856
-
- Federally Qualified Health Center (FQHC)
- Laredo, TX
- NPI 1891660759
-
dba Laredo Medical Center
- General Acute Care Hospital
- Laredo, TX
- NPI 1548232044
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Laredo Medical Center
- General Acute Care Hospital
- Laredo, TX
- NPI 1548232044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1326029869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 BARTLETT AVE SUTE 101",
"city": "LAREDO",
"state": "TX",
"postal_code": "78041",
"telephone_number": "956-717-5775",
"fax_number": "956-717-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7109 BARTLETT AVE SUTE 101",
"city": "LAREDO",
"state": "TX",
"postal_code": "78041",
"telephone_number": "956-717-5775",
"fax_number": "956-717-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DAGOBERTO",
"middle_name": "I",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K3902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1654683-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8M7440",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.