Iridian Gonzalez, RN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1038273 Issued in TX

Practice address

1200 Dolores del Rio Ave
Mission, TX 78572-7133

Phone

(956) 458-3452

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1841965480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 DOLORES DEL RIO AVE APT 1",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727133",
            "telephone_number": "956-458-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DOLORES DEL RIO AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727133",
            "telephone_number": "956-458-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IRIDIAN",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "1038273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danettee Gonzalez
• Edna Gonzalez, MS,ASSIST SLP
• Eduardo T Gonzalez, LPC
• Florinda Gonzalez
• Gilberto Gonzalez Jr., RPH.
• Karol Gonzalez
• Lori Ann Gonzalez
• Margaret Gonzalez, M.A., CCC/SLP
• Margarita Gonzalez, RN
• Mark Rene Gonzalez

• Case Manager/Care Coordinator in Mission, TX
• Providers in Mission, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.