Organization Active NPI

Gonzales Oral & Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Harlingen, TX
National Provider Identifier
1902711575
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GONZALES ORAL & MAXILLOFACIAL SURGERY PLLC
Practice address
101 Stuart Place Rd Ste E
Harlingen, TX 78552-6483
Phone
(915) 329-1641
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mrs. Heila Trevino
Title
Credentialing Specialist
Phone
(956) 778-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

101 Stuart Place Rd Ste E
Harlingen, TX 78552-6483

Mailing address

101 Stuart Place Rd Ste E
Harlingen, TX 78552-6483
Phone (915) 329-1641

National Provider Directory

National Provider Directory

Locations

101 S Stuart Place Rd
Ste E
Harlingen, TX 78552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1902711575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STUART PLACE RD STE E",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785526483",
            "telephone_number": "915-329-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STUART PLACE RD STE E",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785526483",
            "telephone_number": "915-329-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALES ORAL & MAXILLOFACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "HEILA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "956-778-1117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.