Clemente Gonzalez, FNP- BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP129185 Issued in TX

Practice address

2121 E Griffin Pkwy Ste 11
Mission, TX 78572-3072

Phone

(956) 580-3350

Fax

(956) 580-7925

NPI assigned

Oct 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1445644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1922470335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 11",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-580-3350",
            "fax_number": "956-580-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 11",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-580-3350",
            "fax_number": "956-580-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CLEMENTE",
        "credential": "FNP- BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-24",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2015009023",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP129185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Nicole Gonzalez
• Angela Kay Gonzalez
• Anna L Gonzalez, SLP
• Carlos Miguel Gonzalez III
• Christina Gonzalez, M.S., CCC-SLP
• Corina Suzanne Gonzalez, OTR
• Danettee Gonzalez
• Edna Gonzalez, MS,ASSIST SLP
• Eduardo T Gonzalez, LPC
• Florinda Gonzalez

• Primary Care Nurse Practitioner in Mission, TX
• Providers in Mission, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.