Organization Active NPI

Galeno Health PA

  • Internal Medicine Physician
  • Laguna Vista, TX
National Provider Identifier
1366701682
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P2860 Issued in TX
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

Updated by the provider on Aug 28, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.