Gonzalez, Iven

Gonzalez, Iven is an sole proprietor health care provider with primary practice located at 11240 Montwood Dr Ste J , El Paso TX 79936-4248. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Gonzalez, Iven can be contacted via phone (915) 201-2539.

Contact Information

Primary practice address
11240 Montwood Dr Ste J El Paso TX 79936-4248
Phone: (915) 201-2539
Fax: (915) 613-5082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 25489 Texas
Dental Providers / General Practice 1223G0001X 25489 Texas

Profile Details

NPI number 1174836803
LBN Legal business name Gonzalez, Iven
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2010
Last updated May 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174836803 NPPES
Texas MEDICAID 213843004

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