Active NPI
Pablo Isaias Gonzalez, MD
- Psychiatry Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- N9862
- Practice address
- 7400 Merton Minter St
Psychiatry Dept 116a
San Antonio, TX 78229-4404 - Phone
- (210) 699-2191
- NPI assigned
- May 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | N9862 | TX | Primary |
Addresses
Primary practice location
7400 Merton Minter St
Psychiatry Dept 116a
San Antonio, TX 78229-4404
Mailing address
7400 Merton Minter St
Psychiatry Dept 116a
San Antonio, TX 78229-4404
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Psychiatry | Current | Accepting new patients |
| Forefront-Rush Medical Service PA | Psychiatry | Current | Accepting new patients |
| Steward Texas Hospital Holdings LLC | Past | Accepting new patients | |
| Big Spring Texas Hospital Company LLC | Past | Accepting new patients | |
| Steward Texas Hospital Holdings LLC | Past | Accepting new patients | |
| Big Spring Texas Hospital Company LLC | Past | Accepting new patients |
Locations
1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540
1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
400 Ranger St
Hereford, TX 79045
Phone (806) 364-0661
20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
Interoperability endpoints
- pablo.gonzalez.1@24287.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Amarillo, TX
- NPI 1083036651
-
- Psychiatry Physician
- Amarillo, TX
- NPI 1952873671
-
- General Acute Care Hospital
- Big Spring, TX
- NPI 1336976034
-
- Psychiatric Hospital Unit
- Big Spring, TX
- NPI 1770310476
-
- General Acute Care Hospital
- Big Spring, TX
- NPI 1285191452
-
- Psychiatric Hospital Unit
- Big Spring, TX
- NPI 1548727530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1730355181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER ST",
"address_2": "PSYCHIATRY DEPT 116A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER ST",
"address_2": "PSYCHIATRY DEPT 116A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294404",
"telephone_number": "210-699-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "PABLO",
"middle_name": "ISAIAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "N9862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.