Gonzalez, Juan Manuel

Gonzalez, Juan Manuel is an individual health care provider with primary practice located at 3333 N Foster Maldonado Blvd , Eagle Pass TX 78852-5893. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gonzalez, Juan Manuel can be contacted via phone (830) 773-5321.

Contact Information

Primary practice address
3333 N Foster Maldonado Blvd Eagle Pass TX 78852-5893
Phone: (830) 773-5321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 677738 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP111476 Texas

Profile Details

NPI number 1235193350
LBN Legal business name Gonzalez, Juan Manuel
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Nov 30th, 2022 - about 2 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 1235193350 NPPES
Texas Other 89806U BCBS

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