JACQUELYN GONZALEZ (NPI# 1164061917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164061917 |
| Entity Type | Individual |
| Full Name | JACQUELYN GONZALEZ |
| Practice Address |
700 E Bravo Blvd Ste D Roma TX 78584-5741 |
| Mailing Address |
2108 S M St Mcallen TX 78503-1555 |
| Practice Telephone | 9568491818 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
40772 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245488816 | Jacquelyn L Gonzalez | Licensed Practical Nurse | 3527 Harlem Rd, Cheektowaga, NY 14225-1552 | 2008-09-08 |
| Street Address |
700 E BRAVO BLVD STE D |
| City | ROMA |
| State | TX |
| Zip Code | 78584-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558863456 | Cindy Lopez | Physical Therapy Assistant | 700 E Bravo Blvd Ste D, Roma, TX 78584-5741 | 2018-03-06 |
| 1285137489 | Desi Ramos | Specialist/Technologist | 700 E Bravo Blvd Ste D, Roma, TX 78584-5741 | 2018-03-14 |
| 1124521398 | Jacqueline Aguilar | Specialist/Technologist | 700 E Bravo Blvd Ste D, Roma, TX 78584-5741 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629547179 | Alegre Corazon Day Activity and Health Services | Clinic/Center | 1603 N Grant St, Roma, TX 78584 | 2018-11-14 |
| 1295276269 | Rio Rehab for Children Pllc | Clinic/Center | 6 N Lincoln Ave, Roma, TX 78584 | 2017-03-10 |
| 1689085243 | Rio Rehab | Physical Therapist | 6 W. Lincoln St, Ste. 2, Roma, TX 78584 | 2014-05-16 |
| 1124312749 | Daria Babineaux Md Pa | Pediatrics | 4857 W Hwy 83, Roma, TX 78584 | 2011-05-31 |
| 1225333495 | Gold Starr Rehabilitation Center, Inc. | Clinic/Center | 1008 North Garcia St.reet, Roma, TX 78584 | 2011-01-20 |
| 1912152844 | Caridad Healthcare Inc | In Home Supportive Care | 4902 West Us Highway 83, Ste 2, Roma, TX 78584 | 2008-11-19 |
| 1710178181 | Stanislaus Nwafor Uzoigwe Md Pa | Clinic/Center | 1408 Grant Street, Roma, TX 78584 | 2007-08-09 |
| 1295933844 | 3c Health Services, Inc. | Clinic/Center | 1102 Grant St., Roma, TX 78584 | 2007-07-05 |
| 1720109093 | La Paloma Dme,llc | Durable Medical Equipment & Medical Supplies | 2336 E. Grant Street Suite #1, Roma, TX 78584 | 2007-04-03 |
| 1184743015 | S Tx Lifestar Ambulance Srvc | Ambulance | 4839 Old Escobares Hwy 83, Roma, TX 78584 | 2007-03-29 |
| Find all providers in zip 78584 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477034452 | Sara Pena | Specialist/Technologist | 2885 E Grant St Ste B, Roma, TX 78584-8914 | 2018-08-27 |
| 1588143689 | Cristal Lopez | Specialist/Technologist | 6 W Lincoln Avenue, Roma, TX 78584-7858 | 2018-08-09 |
| 1952883779 | Maria Salidvar | Specialist/Technologist | 2885 E Grant St, Roma, TX 78584-8914 | 2018-08-29 |
| 1285137489 | Desi Ramos | Specialist/Technologist | 700 E Bravo Blvd Ste D, Roma, TX 78584-5741 | 2018-03-14 |
| 1124521398 | Jacqueline Aguilar | Specialist/Technologist | 700 E Bravo Blvd Ste D, Roma, TX 78584-5741 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001677 | Stephanie Lee Perez | Specialist/Technologist | 3200 Colonial Pkwy Apt 920, Belton, TX 76513-5841 | 2020-10-22 |
| 1750989257 | Paulina Ivonne Ramirez | Specialist/Technologist | 6903 Pamlico Dr, El Paso, TX 79912-3105 | 2020-10-15 |
| 1063010239 | Gabriella Anne Ruffo | Specialist/Technologist | 17823 Riata Canyon Ct, Cypress, TX 77433-2361 | 2020-10-11 |
| 1922605963 | Julianna Ruiz | Specialist/Technologist | 11709 Broadmoor Dr, Dallas, TX 75218-2053 | 2020-10-02 |
| 1134726151 | Autumn Kelsey Lee | Specialist/Technologist | 250 Bens Trl Apt 522, Fort Worth, TX 76120-7000 | 2020-10-02 |
| 1578160602 | Alexis Scoggin | Specialist/Technologist | 1908 Warwick Cir W, Longview, TX 75601-3139 | 2020-10-01 |
| 1184231524 | Andrea Wenceslada Guerrero | Specialist/Technologist | 222 N Expressway 77/83 Ste 104, Brownsville, TX 78521-2258 | 2020-09-29 |
| 1831706944 | Madeline Lee Lawson | Specialist/Technologist | 10018 Locke Ln, Houston, TX 77042-3102 | 2020-09-24 |
| 1215543665 | Leslie Ednis Pena | Specialist/Technologist | 1005 E 10th St Ste A, Weslaco, TX 78596-5133 | 2020-09-21 |
| 1982210472 | Juana Maria Perez | Specialist/Technologist | 5505 Burton Ln, Corpus Christi, TX 78411-4613 | 2020-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.