Active NPI
Alfredo Gonzalez, FNP
- Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1992743751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 521878
- Practice address
- 8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900 - Phone
- (210) 614-0180
- Fax
- (210) 615-7170
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 521878 | TX | Primary |
Addresses
Primary practice location
8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900
Mailing address
8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900
Phone (210) 614-0180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N7810 | Other | TX | BCBS |
| 167465701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 521878 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater San Antonio Emergency Physicians, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1134184831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1992743751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 DATAPOINT DR",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295900",
"telephone_number": "210-614-0180",
"fax_number": "210-615-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 DATAPOINT DR",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295900",
"telephone_number": "210-614-0180",
"fax_number": "210-615-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ALFREDO",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "521878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N7810",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167465701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.