Active NPI
Marisa Arlene Gonzales
- Speech-Language Assistant
- Pharr, TX
National Provider Identifier
1336519792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 39207
- Practice address
- 4004 N Jackson Rd
Pharr, TX 78577-4962 - Phone
- (956) 683-9339
- Fax
- (956) 683-9329
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 39207 | TX | Primary |
Addresses
Primary practice location
4004 N Jackson Rd
Pharr, TX 78577-4962
Mailing address
9434 Mile 2 1/2 E
Mercedes, TX 78570-8994
Phone (956) 647-6522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39207 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1336519792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9434 MILE 2 1/2 E",
"city": "MERCEDES",
"state": "TX",
"postal_code": "785708994",
"telephone_number": "956-647-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 N JACKSON RD",
"city": "PHARR",
"state": "TX",
"postal_code": "785774962",
"telephone_number": "956-683-9339",
"fax_number": "956-683-9329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "MARISA",
"middle_name": "ARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "39207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.