Individual provider Active NPI

Juliet Gonzalez, R.D.,L.D.

  • Registered Dietitian
  • Pharr, TX
National Provider Identifier
1356565121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT05988 Issued in TX
Practice address
524 S Cage Blvd
Suite a
Pharr, TX 78577-5458
Phone
(956) 992-9703
Fax
(956) 782-9460
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT05988 TX Primary

Addresses

Primary practice location

524 S Cage Blvd
Suite a
Pharr, TX 78577-5458

Mailing address

524 S Cage Blvd
Suite a
Pharr, TX 78577-5458
Phone (956) 992-9703

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT05988TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356565121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S CAGE BLVD",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775458",
            "telephone_number": "956-992-9703",
            "fax_number": "956-782-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S CAGE BLVD",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775458",
            "telephone_number": "956-992-9703",
            "fax_number": "956-782-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JULIET",
        "name_prefix": "Ms.",
        "credential": "R.D.,L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05988",
            "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 Jul 8, 2007; 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.