MANUEL J GONZALEZ (NPI# 1710061239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710061239 |
| Entity Type | Individual |
| Full Name | MANUEL J GONZALEZ |
| Credential | MD |
| Practice Address |
1101 Corpus Christi St Laredo TX 78040-5258 |
| Practice Telephone | 9567278470 |
| Practice Fax Number | 9567274933 |
| Mailing Telephone | 9567278470 |
| Mailing Fax Number | 9567274933 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
E4356 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | P000T279 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801193701 | Manuel Octavio Gonzalez | Internal Medicine | 6050 W 20th Ave Fl 3, Hialeah, FL 33016-2605 | 2011-02-12 |
| 1730419409 | Manuel G Gonzalez | Massage Therapist | 1820 W 53rd St, Apt 403, Hialeah, FL 33012-2164 | 2010-01-02 |
| 1356584361 | Manuel D. Gonzalez | Internal Medicine | 721 N.w 21 Court, Suite 100, Miami, FL 33125 | 2009-04-07 |
| 1538308614 | Manuel Gonzalez Gonzalez | Anesthesiology | 72 Helmsford Way, Penfield, NY 14526-1910 | 2009-02-12 |
| 1497800692 | Manuel D Gonzalez | Optometrist | 11552 Telegraph Rd, Santa Fe Springs, CA 90670-3110 | 2007-01-25 |
| 1215010087 | Manuel Gonzalez | Clinic/Center | Calle Riefkhol 1a, Patillas, PR 00723 | 2006-10-23 |
| 1780640607 | Manuel Gonzalez Jr. | Family Medicine | 7000 Sw 97th Ave Ste 110, Miami, FL 33173-1474 | 2006-04-21 |
| 1457311144 | Manuel Alcides Gonzalez | Dentist | 440 E Westfield Ave Ste 2, Roselle Park, NJ 07204-2452 | 2006-03-25 |
| 1821066812 | Manuel A Gonzalez | Dentist | 601 Calle Lodi, Villa Capri, San Juan, PR 00924-3844 | 2006-03-08 |
| 1417579921 | Manuel Gonzalez | Behavior Technician | 5753 W 15th Ct, Hialeah, FL 33012-2242 | 2020-05-07 |
| Street Address |
1101 CORPUS CHRISTI ST |
| City | LAREDO |
| State | TX |
| Zip Code | 78040-5258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335755 | Viviana Rodriguez | Specialist/Technologist | 1020 Corpus Christi St., Laredo, TX 78040 | 2018-08-08 |
| 1518451749 | United Med Care Ambulance | Ambulance | 1110 Davis Ave, Laredo, TX 78040 | 2018-06-20 |
| 1962910117 | Tomas Cantu | Home Health | 1502 Hidalgo St, Laredo, TX 78040 | 2018-01-22 |
| 1457860447 | Francisco J Martinez | Massage Therapist | 3116 San Bernardo Ave #a, Laredo, TX 78040 | 2017-09-22 |
| 1760810634 | Melissa Garcia | Nurse Practitioner | 1220 San Agustin Ave, Laredo, TX 78040 | 2013-10-31 |
| 1093956831 | Black Casino LLC | Clinic/Center | 302 Washington St Suite B, Laredo, TX 78040 | 2009-03-06 |
| 1851504252 | La Luz Adult Day Care L.L.C. | Nursing Facility/Intermediate Care Facility | 2349 E Saunders, Laredo, TX 78040 | 2007-05-08 |
| 1346373602 | Lorena Elizabeth Tidwell | Specialist/Technologist | West End Washinton, Laredo Community College - Athletic Department, Laredo, TX 78040 | 2007-03-14 |
| 1578609319 | Iliana Medina Chandarlis | Physical Therapist | 1501 Chihuahua Drive Suite #2, Laredo, TX 78040 | 2007-01-29 |
| 1972669919 | Sunny Wong | Internal Medicine | Mcpherson Medical Center, 6801 Mcpherson Road Suite 337, Laredo, TX 78040 | 2006-12-27 |
| Find all providers in zip 78040 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1245875061 | Usa Vascular Center of Dallas Pllc | Surgery | 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 | 2019-11-15 |
| 1740830959 | Coastal Plains Endeavors LLC | Surgery | 1602 E Houston St Ste A, Beeville, TX 78102-5335 | 2019-09-19 |
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1508384652 | Jcm Vein Pllc Vein Care Coastal Bend | Surgery | 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MANUEL J GONZALEZ.
| 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.