Organization Active NPI

Frederico Gonzales Jr

Doing business as Ayuda Case Management

  • Social Worker
  • San Antonio, TX
National Provider Identifier
1356470439
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33688 Issued in TX
Legal business name
FREDERICO GONZALES JR
Doing business as
Ayuda Case Management
Practice address
1500 S Zarzamora St Ste 135
San Antonio, TX 78207-7224
Phone
(210) 223-4066
Fax
(210) 223-9377
NPI assigned
Mar 5, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Fred Gonzales, LBSWNPI 1770612871
Title
Ceo
Phone
(210) 223-4066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 33688 TX Primary

Addresses

Primary practice location

1500 S Zarzamora St Ste 135
San Antonio, TX 78207-7224

Mailing address

1500 S Zarzamora St Ste 135
San Antonio, TX 78207-7224
Phone (210) 223-4066

Other identifiers 1

IdentifierTypeStateIssuer
143351803MedicaidTX

Other names 1

  • Ayuda Case Management Doing business as

National Provider Directory

National Provider Directory

Locations

1500 S Zarzamora St
Ste 135
San Antonio, TX 78207
Phone (210) 223-4066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1356470439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S ZARZAMORA ST STE 135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782077224",
            "telephone_number": "210-223-4066",
            "fax_number": "210-223-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S ZARZAMORA ST STE 135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782077224",
            "telephone_number": "210-223-4066",
            "fax_number": "210-223-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICO GONZALES JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-223-4066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "33688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143351803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ayuda Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2008; 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.