Active NPI
Esmeralda E Gonzalez, M.A., CCC/SLP
- Speech-Language Pathologist
- Laredo, TX
National Provider Identifier
1508051343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100691
- Practice address
- 702 Galveston St
Laredo, TX 78040-4638 - Phone
- (956) 568-4571
- Fax
- (956) 568-4671
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 100691 | TX | Primary |
Addresses
Primary practice location
702 Galveston St
Laredo, TX 78040-4638
Mailing address
2105 Lima Loop
Laredo, TX 78045-6420
Phone (956) 723-1309
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 676667 | Other | MEDICARE | |
| 2821076-01 | Medicaid | TX | |
| 1986135-01 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100691 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safari Kids Rehabilitation Center,LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Safari Kids Rehab
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Laredo, TX
- NPI 1154567568
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1508051343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 LIMA LOOP",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456420",
"telephone_number": "956-723-1309",
"fax_number": "956-568-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 GALVESTON ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780404638",
"telephone_number": "956-568-4571",
"fax_number": "956-568-4671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ESMERALDA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "M.A., CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "676667",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2821076-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1986135-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.