Marissa R Gonzalez MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P4170 Issued in TX

Legal business name

MARISSA R GONZALEZ MD PLLC

Practice address

220 W Hillside Rd
Ste 4a
Laredo, TX 78041-6903

Phone

(956) 726-6937

Fax

(866) 916-2013

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Marissa R Gonzalez, MDNPI 1104053602

Title

Member

Phone

(956) 726-6937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Renee Gonzalez, M.D.

  • Family Medicine Physician
  • Laredo, TX
  • NPI 1104053602
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1609201425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W HILLSIDE RD",
            "address_2": "STE 4A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416903",
            "telephone_number": "956-726-6937",
            "fax_number": "888-972-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W HILLSIDE RD",
            "address_2": "STE 4A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416903",
            "telephone_number": "956-726-6937",
            "fax_number": "866-916-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA R GONZALEZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-726-6937",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Marin, SLP
• Leslie Marin
• Nancy Marin, COTA
• Mariposa Primary Home Care, Inc.
• Marissa C. Keene,M.D. PA
• Tony Paul Marketti, PHARMD
• Felipe Omar Marquez
• Marte a Martinez MD PLLC
• Catherine Martin, DDS
• Melissa Marie Martin, MD

• Family Medicine Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.