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NPI Code Detail

MEDICARE: DR. MANUEL C. GONZALEZ DNP, APRN, FNP-BC

MEDICARE: DR. MANUEL C. GONZALEZ DNP, APRN, FNP-BC
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
1363LF0000XFamily Nurse PractitionerAP112042TX
2363L00000XNurse Practitioner547441TX

Other Identifiers

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

General Provider Information

NPI Number : 1417987801
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANUEL C. GONZALEZ DNP, APRN, FNP-BC
Provider Business Mailing Address
First Line : 1515 PAPPAS ST
Second Line :
City : LAREDO
State : TX
Zip : 78041-1705
Country : US
Telephone Number : 956-795-8100
Fax Number : 956-718-6294
Provider Business Practice Location Address
First Line : 1515 PAPPAS ST
Second Line :
City : LAREDO
State : TX
Zip : 78041-1705
Country : US
Telephone Number : 956-795-8100
Fax Number : 956-718-6294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 01/02/2024

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Directions to “ DR. MANUEL C. GONZALEZ DNP, APRN, FNP-BC” Practice Location

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