Healthcare Provider Details

I. General information

NPI: 1568244358
Provider Name (Legal Business Name): ROCHELLE V GONZALEZ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7210 MCPHERSON RD STE 220
LAREDO TX
78041-6505
US

IV. Provider business mailing address

7210 MCPHERSON RD STE 220
LAREDO TX
78041-6505
US

V. Phone/Fax

Practice location:
  • Phone: 956-796-4990
  • Fax: 956-796-4992
Mailing address:
  • Phone: 956-796-4990
  • Fax: 956-796-4992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1131619
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: