VICTOR M GONZALEZ ,JR.,M.D.,P.A. , NPI 1922026871 — BROWNSVILLE (TX)

NPI 1922026871

13+ Years Experience Organization

VICTOR M GONZALEZ ,JR.,M.D.,P.A.

07/18/2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1922026871
NPI NUMBER

About VICTOR M GONZALEZ ,JR.,M.D.,P.A.

VICTOR M GONZALEZ ,JR.,M.D.,P.A. is a provider established in BROWNSVILLE, TX. The NPI number of VICTOR M GONZALEZ ,JR.,M.D.,P.A. is 1922026871 and was assigned on 07/18/2006. The practitioners primary taxonomy code is: 173000000X with license number: G-9276 TX .

Mailing address

  • City: BROWNSVILLE
  • State: TX
  • Postal code: 785206461
  • Phone: 9565465773
  • Fax: 9565461397
  • Address: 1144 PROFESSIONAL DR

Primary Practice Address

  • Region : BROWNSVILLE, TX
  • NPI : 1922026871
  • Phone : 9565465773
  • Fax : 9565461397
  • Postalcode : 785206461
  • Address : 1144 PROFESSIONAL DR

Provider taxonomy - Legal Medicine

  • Taxonomy code: 173000000X
  • License number: G-9276
  • License state: TX

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy group: 193400000X SINGLE SPECIALTY GROUP.

Taxonomy description: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Contacts:

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  • VICTOR M GONZALEZ ,JR.,M.D.,P.A.
  • Address : 1144 PROFESSIONAL DR
  • Region : BROWNSVILLE, TX
  • NPI : 1922026871
  • Phone : 9565465773
  • Fax : 9565461397
  • Postalcode : 785206461

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 9565465773
  • Title or position : PRESIDENT
  • Credentials : M.D.

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1144 PROFESSIONAL DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameBROWNSVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTX
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code785206461
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9565465773
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number9565461397
The fax number associated with the location address of the provider being identified.
NPI1922026871
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1173000000X
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Provider Enumeration Date07/18/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)VICTOR M GONZALEZ ,JR.,M.D.,P.A.
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1144 PROFESSIONAL DR
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameBROWNSVILLE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameTX
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code785206461
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9565465773
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number9565461397
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameGONZALEZ
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameVICTOR
The first name of the authorized official
Authorized Official Middle NameMANUEL
The middle name of the authorized official
Authorized Official Title or PositionPRESIDENT
The title or position of the authorized official
Authorized Official Name Prefix TextDR.
Authorized Official Name Prefix Text
Authorized Official Credential TextM.D.
Authorized Official Credential Text
Authorized Official Telephone Number9565465773
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1173000000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Provider License Number 1G-9276
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1TX
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
X

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