Individual provider Active NPI

Alvaro Gonzales Gonzalez III, FNP-C

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1821106964
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0706310 Issued in TX
Practice address
1725 Brown St
El Paso, TX 79902-4726
Phone
(915) 590-2225
Fax
(915) 590-2229
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0706310 TX
Nurse Practitioner 363L00000X F0706310 TX Primary

Addresses

Primary practice location

1725 Brown St
El Paso, TX 79902-4726

Mailing address

1725 Brown St
El Paso, TX 79902-4726
Phone (915) 590-2225

Other identifiers 1

IdentifierTypeStateIssuer
188648301MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000502 TX Practitioner - Nurse Practitioner 2163524638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

310 S Mesa Hills Dr
Suite B
El Paso, TX 79912-5881
Phone (915) 351-7546

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0706310TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Dermatology, PA CurrentSince Jul 1, 2022 Accepting new patients
Epiphany Dermatology PA CurrentSince Jul 1, 2022 Accepting new patients
Randy J Pollet MD PA PastSince Nov 11, 2013 Accepting new patients
Las Palmas del Sol Cardiology, PLLC Past Accepting new patients
Cardiology Care Consultants, PA Past Accepting new patients

Locations

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

1550 N Zaragoza Rd
Bldg 2
El Paso, TX 79936
Phone (915) 304-0265

310 S Mesa Hills Dr
Ste B
El Paso, TX 79912
Phone (915) 351-7546

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1821106964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024726",
            "telephone_number": "915-590-2225",
            "fax_number": "915-590-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024726",
            "telephone_number": "915-590-2225",
            "fax_number": "915-590-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALVARO",
        "middle_name": "GONZALES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0706310",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F0706310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188648301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.