DOMINIQUE MARILYN GONZALEZ (NPI# 1710590153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710590153 |
| Entity Type | Individual |
| Full Name | DOMINIQUE MARILYN GONZALEZ |
| Practice Address |
2902 N River Creek Pl Tucson AZ 85745-7019 |
| Practice Telephone | 5207844120 |
| Mailing Telephone | 5207844120 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104471 | Dominique Gonzalez | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2018-11-29 |
| Street Address |
2902 N RIVER CREEK PL |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-7019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227425 | Alejandra Arroyo | Student in an Organized Health Care Education/Training Program | 3046 W Autumn Breeze Dr, Tucson, AZ 85742-4857 | 2020-08-25 |
| 1306459953 | Cassandra Camacho | Student in an Organized Health Care Education/Training Program | 4229 E Boulder Springs Way, Tucson, AZ 85712-6657 | 2020-08-24 |
| 1306458161 | Danielle Williams | Student in an Organized Health Care Education/Training Program | 8310 E Kenyon Dr, Tucson, AZ 85710-4228 | 2020-08-21 |
| 1356953251 | Adora Leann Natasha Hall | Student in an Organized Health Care Education/Training Program | 1330 E Deer Canyon Rd, Tucson, AZ 85718-1094 | 2020-08-21 |
| 1588276034 | Sarah Jane Krepps | Student in an Organized Health Care Education/Training Program | 1924 N Fremont Ave, Tucson, AZ 85719-3536 | 2020-08-17 |
| 1720690324 | Jacqueline Marie Burruel | Student in an Organized Health Care Education/Training Program | 14032 N Lago Del Oro Pkwy, Tucson, AZ 85739-9608 | 2020-08-17 |
| 1356962260 | Jordyn J Kreutzfeldt | Student in an Organized Health Care Education/Training Program | Kerith Lisa Program Manager, 1501 N Campbell Ave, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1942837448 | Jenny La | Student in an Organized Health Care Education/Training Program | 3601 S 6th Ave # 11-112a, Tucson, AZ 85723-0001 | 2020-03-24 |
| 1689208621 | Brittany Morello | Student in an Organized Health Care Education/Training Program | 653 N Encanto Village Way, Tucson, AZ 85716-5059 | 2020-02-28 |
| Find all providers in TUCSON | ||||
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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.