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NPI Code Detail

MEDICARE: DR. FILOMENO P GONZALEZ JR. MD

MEDICARE:  DR. FILOMENO P GONZALEZ JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianM0737TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M0737OTHERTXTX LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376549204
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FILOMENO P GONZALEZ JR. MD
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 830-730-5025
Fax Number : 830-730-4207
Provider Business Practice Location Address
First Line : 1762 E COMMON ST
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-6059
Country : US
Telephone Number : 830-730-8580
Fax Number : 830-327-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 11/10/2025

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Directions to “ DR. FILOMENO P GONZALEZ JR. MD” Practice Location

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