Healthcare Provider Details

I. General information

NPI: 1750501201
Provider Name (Legal Business Name): ROSALINDA GONZALEZ RN,CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 12/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E SAVANNAH C SUITE 101
MCALLEN TX
78503
US

IV. Provider business mailing address

7502 MILE 2 1/2 E
MERCEDES TX
78570-9549
US

V. Phone/Fax

Practice location:
  • Phone: 956-686-8357
  • Fax:
Mailing address:
  • Phone: 956-565-3302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number235637
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number235637
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: