Active NPI
Liduina Paola Gonzalez, SA-C
- Surgical Assistant
- Rockwall, TX
National Provider Identifier
1437048782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 25-105
- Practice address
- 6800 Heritage Pkwy Ste 108
Rockwall, TX 75087-8746 - Phone
- (972) 463-1811
- Fax
- (833) 592-2353
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 25-105 | WI | Primary |
Addresses
Primary practice location
6800 Heritage Pkwy Ste 108
Rockwall, TX 75087-8746
Mailing address
1801 Bayside Dr
Rowlett, TX 75088-6705
Phone (469) 473-6011
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-105 | WI | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1437048782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 BAYSIDE DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750886705",
"telephone_number": "469-473-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 HERITAGE PKWY STE 108",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750878746",
"telephone_number": "972-463-1811",
"fax_number": "833-592-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LIDUINA",
"middle_name": "PAOLA",
"credential": "SA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "25-105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.