Active NPI
Galeno Health PA
- Internal Medicine Physician
- Laguna Vista, TX
National Provider Identifier
1366701682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P2860
- Legal business name
- GALENO HEALTH PA
- Practice address
- 711 Santa Isabel Blvd
Laguna Vista, TX 78578-2647 - Phone
- (956) 825-0410
- Fax
- (956) 825-0413
- NPI assigned
- May 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Enrique Gonzalez, M.D.
- Title
- Director
- Phone
- (956) 825-0410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P2860 | TX | Primary |
Addresses
Primary practice location
711 Santa Isabel Blvd
Laguna Vista, TX 78578-2647
Mailing address
PO Box 11187
Belfast, ME 04915-4002
Phone (956) 825-0410
Other names 1
- Laguna Vista Health Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Laguna Vista, TX
- NPI 1699871236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346112000000",
"number": "1366701682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11187",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154002",
"telephone_number": "956-825-0410",
"fax_number": "956-825-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 SANTA ISABEL BLVD",
"city": "LAGUNA VISTA",
"state": "TX",
"postal_code": "785782647",
"telephone_number": "956-825-0410",
"fax_number": "956-825-0413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALENO HEALTH PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-07",
"last_updated": "2012-08-28",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "ENRIQUE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "956-825-0410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "P2860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laguna Vista Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laguna Vista, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.