Gonzalez, Juan Alberto

Gonzalez, Juan Alberto is an individual health care provider with primary practice located at 1501 N Mesa St Suite 104, El Paso TX 79902-4046. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gonzalez, Juan Alberto can be contacted via phone (915) 577-0744.

Contact Information

Primary practice address
1501 N Mesa St Suite 104 El Paso TX 79902-4046
Phone: (915) 577-0744
Fax: (915) 577-0271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1282 Texas

Profile Details

NPI number 1245266170
LBN Legal business name Gonzalez, Juan Alberto
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 16th, 2008 - about 18 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 1245266170 NPPES
Texas MEDICAID 109394001

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