Active NPI
Jose Ruben Gonzales
- Family Nurse Practitioner
- Corpus Christi, TX
National Provider Identifier
1437762572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1010938
- Practice address
- 6300 Ocean Dr
Corpus Christi, TX 78412-5503 - Phone
- (361) 825-2753
- NPI assigned
- Aug 28, 2020
- Last updated
- Aug 28, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1010938 | TX | Primary |
Addresses
Primary practice location
6300 Ocean Dr
Corpus Christi, TX 78412-5503
Mailing address
325 Nicklaus Dr
Portland, TX 78374-4193
Phone (361) 633-7772
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 |
|---|---|---|---|
| 1010938 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1437762572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 NICKLAUS DR",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783744193",
"telephone_number": "361-633-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 OCEAN DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784125503",
"telephone_number": "361-825-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "JOSE",
"middle_name": "RUBEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1010938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.