Active NPI
Gwendolyn Gonzalez, M.D.
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1811123284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- BP10033937
- Practice address
- 4900 Medical Dr Apt 1801
San Antonio, TX 78229-4334 - Phone
- (787) 378-3998
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | BP10033937 | TX | Primary |
Addresses
Primary practice location
4900 Medical Dr Apt 1801
San Antonio, TX 78229-4334
Mailing address
4900 Medical Dr Apt 1801
San Antonio, TX 78229-4334
Phone (787) 378-3998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10033937 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1811123284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MEDICAL DR APT 1801",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294334",
"telephone_number": "787-378-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MEDICAL DR APT 1801",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294334",
"telephone_number": "787-378-3998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GWENDOLYN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "BP10033937",
"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 Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.