Jose Luis Gonzalez Ulloa, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1035653 Issued in TX

Practice address

14936 Northwest Fwy
Houston, TX 77040-4025

Phone

(281) 845-9020

Fax

(281) 845-8990

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Memorial Amell Su Clinica Familiar, LLC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1164161121
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653782400000",
    "number": "1326548207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14936 NORTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770404025",
            "telephone_number": "281-845-9020",
            "fax_number": "281-845-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14936 NORTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770404025",
            "telephone_number": "281-845-9020",
            "fax_number": "281-845-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ULLOA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035653",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "890421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Jacqueline Gonzalez Pardo
• Rebeckah Sarai Gonzalez Rodriguez
• Ramon Hipolito Gonzalez Rojas, SA - C
• Analisia Gonzalez Stewart, MD
• Arelys Gonzalez Trujillo
• Yanitza Gonzalez Urgelles
• Aislin Marlen Gonzalez Vazquez
• Glorisel Gonzalez Viera, MD
• Ana-Maria Gonzalez-Angulo, M.D.
• Nereida Gonzalez-Berrios, M.D.

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; 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.

Verify at the official NPI Registry.