Mariaelena Gonzalez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

678490 Issued in TX

Practice address

103 Livingston Loop Ste B4
Santa Teresa, NM 88008-9747

Phone

(915) 888-9115

Fax

(915) 995-4972

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maria Elena Gonzalez Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1750614376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LIVINGSTON LOOP STE B4",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089747",
            "telephone_number": "915-888-9115",
            "fax_number": "915-995-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LIVINGSTON LOOP STE B4",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089747",
            "telephone_number": "915-888-9115",
            "fax_number": "915-995-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIAELENA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "678490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ELENA",
            "last_name": "GONZALEZ",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fernando Gomez, MA, LMHC
• Daniel David Gonzalez, PT, OCS
• Frank Anthony Gonzalez
• Jennifer Gonzalez, OTR
• Julia Gonzalez
• Romina Gonzalez
• Saharay Gonzalez, PHLEBOTOMIST
• Kane Andrew Grant
• Carlos Armando Graziani, PHARM D
• Green Minds Matter LLC

• Family Nurse Practitioner in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.