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NPI Code Detail

MEDICARE: RICARDO GONZALEZ CNS

MEDICARE:   RICARDO  GONZALEZ  CNS
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistAP114437TX

General Provider Information

NPI Number : 1508939687
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO GONZALEZ CNS
Provider Business Mailing Address
First Line : 6704 DAKOTA RIDGE DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-8115
Country : US
Telephone Number : 915-584-5008
Fax Number :
Provider Business Practice Location Address
First Line : 1551 MONTANA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-5668
Country : US
Telephone Number : 915-747-3510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 05/12/2021

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Directions to “ RICARDO GONZALEZ CNS” Practice Location

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