Active NPI
Rogelio I Gonzalez, M.D.PA.
- Urology Physician
- San Antonio, TX
National Provider Identifier
1548399199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- F4847
- Practice address
- 730 N Main Ave
Suite 408
San Antonio, TX 78205-1152 - Phone
- (210) 226-8155
- Fax
- (210) 226-8455
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | F4847 | TX | Primary |
Addresses
Primary practice location
730 N Main Ave
Suite 408
San Antonio, TX 78205-1152
Mailing address
730 N Main Ave
Suite 408
San Antonio, TX 78205-1152
Phone (210) 226-8155
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950843 | Other | TX | AETNA |
| 110676701 | Medicaid | TX | |
| 826023914 | Other | TX | RAILROAD MEDICARE |
| 4388167 | Other | TX | CIGNA |
| 2287857 | Other | TX | BLUE LINK ID |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4847 | TX | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548399199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 N MAIN AVE",
"address_2": "SUITE 408",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051152",
"telephone_number": "210-226-8155",
"fax_number": "210-226-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 N MAIN AVE",
"address_2": "SUITE 408",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051152",
"telephone_number": "210-226-8155",
"fax_number": "210-226-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ROGELIO",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.PA.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "F4847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "950843",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110676701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "826023914",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4388167",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK ID",
"identifier": "2287857",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.