Roberto Gonzalez, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110336 Issued in TX

Practice address

201 Lindenwood Dr
Laredo, TX 78045-2429

Phone

(956) 473-2858

NPI assigned

Jan 25, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Mercy Rehab Services Inc

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1467259309

  Speech-Language Pathologist

  NPD (past)
• Mercy Rehab Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Laredo, TX
  • NPI 1871699389
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1740336759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LINDENWOOD DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452429",
            "telephone_number": "956-473-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LINDENWOOD DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452429",
            "telephone_number": "956-473-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110336",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Gonzalez, OTA
• Myriam Gonzalez, FNP-BC
• Myriam Gonzalez
• Naida Gonzalez
• Robert Seth Gonzalez
• Rochelle V Gonzalez, FNP-BC
• Ruby Gonzalez
• Sabrina Gonzalez
• Sasha Gonzalez
• Terri R Gonzalez, ED.D., OTR, LMT

• Speech-Language Pathologist in Laredo, TX
• Providers in Laredo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.