MAYRA GONZALEZ (NPI# 1043721442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043721442 |
| Entity Type | Individual |
| Full Name | MAYRA GONZALEZ |
| Credential | CCP |
| Practice Address |
14603 Huebner Rd Ste 28101 San Antonio TX 78230-5497 |
| Practice Telephone | 2106147074 |
| Mailing Telephone | 2106147074 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | FPF02000046 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL BOARD | FPF02000046 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871094797 | Mayra Gonzalez | Technician | 1605 Angel Falls St, Las Vegas, NV 89142-1224 | 2018-02-26 |
| 1316325087 | Mayra Gonzalez | Occupational Therapist | 8530 Sw 20th St, Miami, FL 33155-1008 | 2015-05-13 |
| 1548550262 | Mayra Gonzalez | Family Medicine | 7000 West Cermak Road, Berwyn, IL 60402 | 2011-04-14 |
| 1598370173 | Mayra Gonzalez | Student in an Organized Health Care Education/Training Program | 849 E 6th St, Los Angeles, CA 90021-1026 | 2020-09-10 |
| 1730799057 | Mayra Nineth Gonzalez | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-08-01 |
| 1427518968 | Mayra Corral Gonzalez | Behavior Technician | 2354 Powell St, Emeryville, CA 94608-1738 | 2019-03-21 |
| 1154890911 | Mayra Gonzalez | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2018-11-21 |
| 1760909972 | Mayra A Gonzalez | Behavioral Analyst | 1905 Business Center Dr Unit 100, San Bernardino, CA 92408-3460 | 2017-08-28 |
| 1447788526 | Mayra Gonzalez | Counselor | 758 St Helens Ave, Tacoma, WA 98402-3706 | 2017-06-01 |
| 1215303060 | Mayra G Gonzalez | Social Worker | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2015-08-17 |
| Street Address |
14603 HUEBNER RD STE 28101 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073920005 | Krista Grantham | Physician Assistant | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2014-07-22 |
| 1467074674 | Tyrone Lamar Crews | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-05-11 |
| 1164042776 | Amy Jo Walker | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-23 |
| 1306475579 | Justin Manley | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-08 |
| 1902432776 | Jacklyn Ann Lamb | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-03-12 |
| 1962069161 | John Anthony Bennett | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2019-05-22 |
| 1104483395 | Christian Mesa | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2019-05-22 |
| 1417414129 | Timothy Frank Haumschild | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2019-02-28 |
| 1962996835 | Adam Michael Harshman | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2018-06-14 |
| 1598272759 | Ryan Michael Coons | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865109 | Dauvon Lamar Mccormick | Perfusionist | 14603 Huebner Rd. Blg 28, Ste 28101, San Antonio, TX 78203 | 2017-08-02 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1386064202 | Sandra Powell Melchor | Perfusionist | 8518 Shooting Quail, San Antonio, TX 78250-4613 | 2014-04-17 |
| 1891065793 | Haven Allan Young | Perfusionist | 1331 S Flores St, 308, San Antonio, TX 78204-1655 | 2012-01-09 |
| 1336455039 | Shelby Mcneel Miller | Perfusionist | 210 Halcyon Pl, San Antonio, TX 78209-3825 | 2010-08-19 |
| 1124202767 | Alaeddin M. Taher | Perfusionist | 622 Mathis Mdw, San Antonio, TX 78251-4344 | 2007-12-18 |
| 1265554414 | Robert Matthew Browne | Perfusionist | 14603 Huebner Rd Bldg 28, Ste. 28101, San Antonio, TX 78230-5497 | 2007-04-06 |
| 1467074674 | Tyrone Lamar Crews | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-05-11 |
| 1164042776 | Amy Jo Walker | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-23 |
| 1457970972 | Erica Ryu Ellsworth | Perfusionist | 14603 Huebner Rd Bldg 28, San Antonio, TX 78230-5497 | 2020-04-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.