Manuel C. Gonzalez, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP112042 Issued in TX

Practice address

1515 Pappas St
Laredo, TX 78041-1705

Phone

(956) 795-8100

Fax

(956) 718-6294

NPI assigned

Jul 3, 2006

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1720192792
  Medicare reassignment NPD
• Gateway Community Health Center, Inc

  dba Laredo College South Clinic

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1164069035
  NPD
• Gateway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1891660759
  NPD
• Gateway Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1255376976
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1417987801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-795-8100",
            "fax_number": "956-718-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-795-8100",
            "fax_number": "956-718-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MANUEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "547441",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP112042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170859602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Gonzalez Jr., D.D.S.
• Kassandra Gonzalez
• Kayla Alexia Gonzalez, PTA
• Kristine Renee Gonzalez, LPC
• Leslie Gonzalez
• Manuel J Gonzalez, MD
• Maria del Carmen Gonzalez, RN
• Maria Olvido Gonzalez, MD
• Mariana Gonzalez, MA, LPC
• Maricela Gonzalez, SLPA

• Family Nurse Practitioner in Laredo, TX
• Providers in Laredo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.