Luis Antonio Gonzalez, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

K4439 Issued in TX

Practice address

10400 Vista del Sol Dr Ste 201
El Paso, TX 79925-7924

Phone

(915) 594-1145

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Stanford University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1649220138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 VISTA DEL SOL DR STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257924",
            "telephone_number": "915-594-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 VISTA DEL SOL DR STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257924",
            "telephone_number": "915-594-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K4439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0031EJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Manuel Gonzalez
• Juan Marcelo Gonzalez Jr.
• Kayla Gonzalez, DC
• Liliana Isabel Gonzalez
• Lizette Gonzalez
• Luz Del Carmen Gonzalez
• Lydia Gonzalez, PT
• Marco Antonio Gonzalez, MD
• Margarita Molina Gonzalez
• Maria C Gonzalez, LPCI

• Specialist in El Paso, TX
• Providers in El Paso, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.