MEDICARE: BELINDA GONZALEZ 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
1	207Q00000X	Family Medicine Physician	J6465	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1730389610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA GONZALEZ MD

Provider Business Mailing Address
First Line	:	5525 S STAPLES
Second Line	:	SUITE E1
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411
Country	:	US
Telephone Number	:	361-992-5253
Fax Number	:	361-992-5653

Provider Business Practice Location Address
First Line	:	5317 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-4103
Country	:	US
Telephone Number	:	361-402-6007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	11/01/2022

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Directions to “ BELINDA GONZALEZ MD” Practice Location

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