Alfredo V. Gonzalez, M.D.,P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ALFREDO V. GONZALEZ, M.D.,P.A.

Practice address

1301 W Sam Houston Blvd Unit a
Pharr, TX 78577-5669

Phone

(956) 702-3600

Fax

(956) 702-3606

NPI assigned

May 12, 2006

Last updated

Mar 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alfredo V. Gonzalez, M.D.NPI 1376593905

Title

Phyisican/Owner

Phone

(956) 702-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfredo V Gonzalez, M.D.

  • Family Medicine Physician
  • Pharr, TX
  • NPI 1376593905

  Legal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1851342398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W SAM HOUSTON BLVD UNIT A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775669",
            "telephone_number": "956-702-3600",
            "fax_number": "956-702-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W SAM HOUSTON BLVD UNIT A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775669",
            "telephone_number": "956-702-3600",
            "fax_number": "956-702-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO V. GONZALEZ, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PHYISICAN/OWNER",
        "authorized_official_telephone_number": "956-702-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160945501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Pharr, TX
• Providers in Pharr, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.