Manuel J Gonzalez, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

E4356 Issued in TX

Practice address

1101 Corpus Christi St
Laredo, TX 78040-5258

Phone

(956) 727-8470

Fax

(956) 727-4933

NPI assigned

Oct 24, 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

General SurgeryAlso: Vascular Surgery

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• La Esperanza Home Health Inc Home health agency, Laredo, TX, CCN 747307
• Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACJDAD/Endpoint/ACJDAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healogics Specialty Physicians of Texas, PLLC

  • Surgery Physician
  • Allen, TX
  • NPI 1285051094
  Medicare reassignment NPD

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

• Doctors Hospital of Laredo

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1396731105
  Care Compare affiliation
• La Esperanza Home Health, Inc.

  • Home Health Agency
  • Laredo, TX
  • NPI 1467624122
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1710061239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405258",
            "telephone_number": "956-727-8470",
            "fax_number": "956-727-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405258",
            "telephone_number": "956-727-8470",
            "fax_number": "956-727-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MANUEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "E4356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000T279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassandra Gonzalez
• Kayla Alexia Gonzalez, PTA
• Kristine Renee Gonzalez, LPC
• Leslie Gonzalez
• Manuel C. Gonzalez, DNP, APRN, FNP-BC
• Maria del Carmen Gonzalez, RN
• Maria Olvido Gonzalez, MD
• Mariana Gonzalez, MA, LPC
• Maricela Gonzalez, SLPA
• Mariell Gonzalez

• Vascular Surgery Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.