Healthcare Provider Details

I. General information

NPI: 1376549204
Provider Name (Legal Business Name): FILOMENO P GONZALEZ JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1762 E COMMON ST
NEW BRAUNFELS TX
78130-6059
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 830-730-8580
  • Fax: 830-327-1021
Mailing address:
  • Phone: 830-730-5025
  • Fax: 830-730-4207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM0737
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: