MICHAEL R GONZALES (NPI# 1609810175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609810175 |
| Entity Type | Individual |
| Full Name | MICHAEL R GONZALES |
| Credential | MD |
| Practice Address |
1100 Mccullough Ave Suite 300 San Antonio TX 78212-4813 |
| Practice Telephone | 2102713204 |
| Practice Fax Number | 2102222761 |
| Mailing Telephone | 2102713204 |
| Mailing Fax Number | 2102222761 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M4101 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8CU331 | 01 |
| TX | BCBS | 8V3734 | 01 |
| TX | RAILROAD | P00948200 | 01 |
| TX | 181381803 | 05 | |
| TX | RAILROAD MEDICARE | P00325412 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124184 | Michael Xavier Gonzales | Student in an Organized Health Care Education/Training Program | 6401 Maple Ave Apt 8307, Dallas, TX 75235-5544 | 2019-03-21 |
| 1205217908 | Michael Gonzales | Internal Medicine | San Antonio Military Medical Center, 959 Csps/sgvt, Pulmonary and Critical Care Medi, 3551 Roger Brooke Dr., Jbsa - Fort Sam Houston, TX 78234-4504 | 2015-06-18 |
| 1831421759 | Michael Anthony Gonzales | Registered Nurse | 811 S Maxine St, Santa Ana, CA 92704-1827 | 2010-02-02 |
| 1306097951 | Michael Gonzales | Acupuncturist | 102 Towne Centre Dr, Hillsborough, NJ 08844-4688 | 2008-10-01 |
| 1508413006 | Michael Anthony Gonzales | Chiropractor | 734 Broadway, Bayonne, NJ 07002-4274 | 2019-08-20 |
| 1285296657 | Michael Jose Gonzales | Physical Therapist | 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 | 2019-07-05 |
| 1922664291 | Michael Gonzales | Behavior Technician | 290 S Alma School Rd, Chandler, AZ 85224-7632 | 2019-05-13 |
| 1952878431 | Michael Gonzales | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2018-11-01 |
| 1639645195 | Michael Gonzales | Counselor | 65 South St Fl 2, Freehold, NJ 07728-2348 | 2018-10-22 |
| 1467980367 | Michael Gonzales | Social Worker | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2017-05-23 |
| Street Address |
1100 MCCULLOUGH AVE SUITE 300 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814898 | Socrates B Aramburu | Internal Medicine | 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212-4813 | 2005-07-14 |
| 1205013463 | Adam Denker | Internal Medicine | 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212-4813 | 2008-01-29 |
| 1225139736 | Hinh Duy Nguyen | Internal Medicine | 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212-4813 | 2006-09-26 |
| 1225011109 | Jose F. Font-cordoba | Internal Medicine | 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212-4813 | 2005-11-23 |
| 1700885324 | Roger K Muse | Internal Medicine | 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212-4813 | 2005-07-15 |
| 1164421871 | David L Briseno | Specialist | 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212-4813 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184098279 | Heart Endovascular and Rhythm of Texas, Pa | Internal Medicine | 1202 E Sonterra Blvd Ste 604, San Antonio, TX 78258-4093 | 2015-11-30 |
| 1780058040 | Advanced Cardiac Imaging Solutions, Pllc | Internal Medicine | 13423 Blanco Road #437, San Antonio, TX 78216 | 2015-11-23 |
| 1215329602 | Ricardo A Garza Md Pllc | Internal Medicine | 6800 W Ih 10 West, Suite 110, San Antonio, TX 78201-2039 | 2015-02-23 |
| 1003205873 | Heart and Rhythm Institute of South Texas, Pa | Internal Medicine | 8122 Datapoint Dr Ste 120, San Antonio, TX 78229-3264 | 2015-01-16 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1326342015 | B.s.athreya,m.d.,p.a.& Associates | Internal Medicine | 215 E Quincy St Ste 430, San Antonio, TX 78215-2034 | 2011-01-10 |
| 1093034654 | South Texas Cardiology Institute, Pllc | Internal Medicine | 6800 Ih 10 W Ste 200, San Antonio, TX 78201-2041 | 2010-05-21 |
| 1164604294 | Chun Wang Tan Md Pa | Internal Medicine | 323 W Mulberry Ave, San Antonio, TX 78212-3236 | 2007-11-30 |
| 1851573844 | Rushit R. Kanakia | Internal Medicine | 1715 Mccullough Ave Fl 2, San Antonio, TX 78212-4046 | 2007-11-30 |
| 1336337880 | R. Stefan Kiesz M.d. P.a. | Internal Medicine | 18615 Tuscan Stone, Suite 170, San Antonio, TX 78258-3498 | 2007-10-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on MICHAEL R 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.