GEOFFREY M GONZALES (NPI# 1093030512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093030512 |
| Entity Type | Individual |
| Full Name | GEOFFREY M GONZALES |
| Credential | PMHNP |
| Practice Address |
3110 Nogalitos Ste 105 San Antonio TX 78225-2337 |
| Practice Telephone | 2105330257 |
| Practice Fax Number | 2105340890 |
| Mailing Telephone | 2105330257 |
| Mailing Fax Number | 2105340890 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP118923 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3138232 | 05 | |
| TX | APRN LICENSE | AP118923 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3110 Nogalitos Ste 105, San Antonio, TX 782252337 | 2105330257 | 2105340890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275859266 | Geoffrey Gonzales | Dentist | 906 Oak Tree Ave, M, South Plainfield, NJ 07080-5127 | 2010-04-15 |
| Street Address |
3110 NOGALITOS STE 105 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78225-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355185 | Jennifer M Mantica | Nurse Practitioner | 3110 Nogalitos Ste 105, San Antonio, TX 78225-2337 | 2019-03-17 |
| 1467949669 | Rozalia Ileana Carrasco | Physician Assistant | 3110 Nogalitos Ste 105, San Antonio, TX 78225-2337 | 2018-04-13 |
| 1063924751 | Candace C Burrell-miramontes | Nurse Practitioner | 3110 Nogalitos Ste 105, San Antonio, TX 78225-2337 | 2017-11-02 |
| 1649793837 | Ana Canelo Serrano | Chiropractor | 3110 Nogalitos Ste 105, San Antonio, TX 78225-2337 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881846525 | Roxane C Marines | Counselor | 626 Kirk Pl, San Antonio, TX 78225-1132 | 2008-10-14 |
| 1184786147 | Christopher Watkins | Dentist | 3606 S Zarzamora St, San Antonio, TX 78225-1359 | 2006-12-15 |
| 1194364125 | Rita Ag Pllc | Dentist | 3606 S Zarzamora St, San Antonio, TX 78225-1359 | 2019-12-20 |
| 1841598257 | A Bright Smile 4 Kids, LLC | Dentist | 3606 S Zarzamora St, San Antonio, TX 78225-1359 | 2011-03-09 |
| 1730194747 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2006-07-29 |
| 1194225979 | Rhonda Ann Fudge Hong | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2018-02-18 |
| 1063924686 | Serjo Martinez | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2017-11-05 |
| 1568835957 | Ernest Medina Jr. | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2015-11-05 |
| 1548642424 | Vivian Nwankwo | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2015-06-26 |
| 1134498538 | Clarence G Roussett | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2011-12-14 |
| Find all providers in zip 78225 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643968 | Britanni O Greene | Nurse Practitioner | 10650 Culebra Rd # 104-548, San Antonio, TX 78251-4949 | 2020-09-10 |
| 1356955462 | Saeid Nekoueian | Nurse Practitioner | 19506 Flair Oak, San Antonio, TX 78258-3648 | 2020-09-04 |
| 1649806282 | Monique Straker | Nurse Practitioner | 9480 Huebner Rd Ste 210, San Antonio, TX 78240-1657 | 2020-03-16 |
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1447714274 | Suzanne Perakathu | Nurse Practitioner | 7122 Stonewall Hill, San Antonio, TX 78256 | 2019-01-25 |
| 1023536612 | Olena Shvets | Nurse Practitioner | 311 Camden St # 510, San Antonio, TX 78215-2012 | 2017-09-02 |
| 1528598620 | Dianne Lavin LLC | Nurse Practitioner | 503 Benedict Ct, San Antonio, TX 78258-2545 | 2017-06-13 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1215476940 | Vita T Chung | Nurse Practitioner | 8122 Datapoint Dr Ste 1000, San Antonio, TX 78229-3273 | 2017-02-14 |
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78225 |
Please comment or provide details below to improve the information on GEOFFREY M GONZALES.
| 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.