Individual provider Active NPI

Alberto Patricio Gonzalez, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Weslaco, TX
National Provider Identifier
1689776304
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J0762 Issued in TX
Practice address
1401 East 8TH Street
Weslaco, TX 78596-6640
Phone
(956) 968-8567
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X J0762 TX Primary

Addresses

Primary practice location

1401 East 8TH Street
Weslaco, TX 78596-6640

Mailing address

PO Box 8367
Weslaco, TX 78599
Phone (956) 969-5244

Other identifiers 1

IdentifierTypeStateIssuer
101955602MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090609000210 TX Practitioner - Pathology 5890845135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Pathology, P.a.Group PAC ID 2668516469, 5 clinicians

Practice addresses (Care Compare)

5501 S McColl Rd
Edinburg, TX 78539-9152

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J0762TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Jun 17, 2019 Accepting new patients
Pathology Associates of South Texas PA PastSince Mar 1, 2001 Accepting new patients
Centennial Laboratory, LLC PastSince Feb 17, 2010 Accepting new patients

Locations

4750 N Expressway
#77
Brownsville, TX 78526
Phone (956) 362-1352

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1689776304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8367",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78599",
            "telephone_number": "956-969-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 EAST 8TH STREET",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966640",
            "telephone_number": "956-968-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALBERTO",
        "middle_name": "PATRICIO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J0762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101955602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.