Marco Antonio Gonzalez, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

P2248 Issued in TX

Practice address

1480 Redd Rd
El Paso, TX 79911-3026

Phone

(915) 600-2639

Fax

(915) 702-0023

NPI assigned

Dec 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marco.gonzalez@direct.myhealthep.org

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.

• Redd ASC LLC

  • Ambulatory Surgical Clinic/Center
  • El Paso, TX
  • NPI 1437875028
  Medicare reassignment NPD Authorized official
• Image Consultants Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • El Paso, TX
  • NPI 1821348202
  Medicare reassignment

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1710216130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113026",
            "telephone_number": "915-600-2639",
            "fax_number": "915-702-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113026",
            "telephone_number": "915-600-2639",
            "fax_number": "915-702-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P2248",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P2248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Isabel Gonzalez
• Lizette Gonzalez
• Luis Antonio Gonzalez, M.D.
• Luz Del Carmen Gonzalez
• Lydia Gonzalez, PT
• Margarita Molina Gonzalez
• Maria C Gonzalez, LPCI
• Maria Lourdes Gonzalez
• Maribel Gonzalez, RN,BSN,CDE
• Maribel Gonzalez, RN, FNP-C

• Plastic and Reconstructive Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.