NPIMap

Individual provider Active NPI

Lucia Ridlen-Gonzalez, M.D.

  • Family Medicine Physician
  • Seguin, TX
National Provider Identifier
1831145234
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4238 Issued in TX
Practice address
1104 Jefferson Ave
Seguin, TX 78155-5910
Phone
(830) 379-9797
Fax
(855) 504-3083
NPI assigned
May 26, 2006
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0055569 CO
Family Medicine Physician 207Q00000X P4238 TX Primary

Addresses

Primary practice location

1104 Jefferson Ave
Seguin, TX 78155-5910

Mailing address

PO Box 1890
Gonzales, TX 78629-1390
Phone (830) 672-6511

Other practice location 1

774 Landa St
New Braunfels, TX 78130-6114
Phone (830) 625-0305

Other identifiers 3

IdentifierTypeStateIssuer
154037MedicaidAZ
205937600MedicaidMO
148786001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120918000956 TX Practitioner - Family Practice 7911070990 Reassigns benefits to 2 organizations
I20230202001756 CO Practitioner - Family Practice 7911070990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Centers of South Central Texas, Inc.Group PAC ID 4688650328, shared by 8 NPIs, 9 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

228 Saint George St
Gonzales, TX 78629-3910
Phone (830) 672-6511

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

774 Landa St
New Braunfels, TX 78130-6114
Phone (830) 625-0298

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince Sep 16, 2022 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Oct 6, 2025 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Metro Community Provider Network Inc CurrentSince Sep 16, 2022 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 6, 2025 Accepting new patients
Barrio Comprehensive Family Health Care Center,Inc. CurrentSince Aug 7, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Community Health Centers of South Central Texas Inc Past Accepting new patients

Locations

2255 S Oneida St
Denver, CO 80224
Phone (303) 879-6681

3701 S Broadway
Englewood, CO 80113

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

2810 Dacy Ln
Kyle, TX 78640
Phone (512) 268-8900

774 Landa St
New Braunfels, TX 78130
Phone (830) 625-0305

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: lridlengonzalez619711@christushealth.direct-ci.net
  • Direct secure messaging: lucia.ridlengonzalez@direct.myteamcare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1831145234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1890",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786291390",
            "telephone_number": "830-672-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 JEFFERSON AVE",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555910",
            "telephone_number": "830-379-9797",
            "fax_number": "855-504-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 Landa St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781306114",
            "country_code": "US",
            "telephone_number": "830-625-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDLEN-GONZALEZ",
        "first_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0055569",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154037",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205937600",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148786001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.