Marie A Gonzalez Falu

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

2500 Chandler Ave Ste 3
Las Vegas, NV 89120-4064

Phone

(725) 204-8809

NPI assigned

Oct 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• FDV Wellness Center

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1134813991

  Rehabilitation Practitioner

  NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1447967609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CHANDLER AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204064",
            "telephone_number": "725-204-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHANDLER AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204064",
            "telephone_number": "725-204-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ FALU",
        "first_name": "MARIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fuentedevidanv.org",
            "affiliation": "N",
            "address_1": "2500 Chandler Ave Ste 3",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891204064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriela Gonzalez Diaz
• Jose A Gonzalez Diaz
• Jeannette Gonzalez Dominguez
• Yudelkys Gonzalez Dousat
• Jimena Gonzalez Espinosa
• Alain Gonzalez Fernandez, QBA
• Isabel Gonzalez Ferrer
• Imelda Gonzalez Flores
• Mirelys Gonzalez Fundora, RBT
• Rafael Gonzalez Gallego

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.