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DR. ROBERT MEDELL GONZALEZ M.D. NPI 1407812852


NPI Information

NPI: 1407812852
Provider Name: DR. ROBERT MEDELL GONZALEZ, M.D.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

PECOS Registration: Yes

Address:
111 DALLAS ST
SAN ANTONIO, TX
ZIP 78205
Phone: (210) 297-7000
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DR. Robert Medell Gonzalez, M.D. is an emergency medical services emergency medicine in San Antonio, TX. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Robert Medell Gonzalez, M.D. NPI is 1407812852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 DALLAS ST
SAN ANTONIO, TX
ZIP 78205-201
Phone: (210) 297-7000

The NPI 1407812852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 10/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical ServicesK3206TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18K3558MEDICARE PIN
2031150803MEDICAIDTEXAS
3031150801MEDICAIDTEXAS
48K7147MEDICARE PIN
5031150806MEDICAIDTEXAS
6G18891MEDICARE UPINTEXAS
78K3559MEDICARE PIN
800797GMEDICARE ID-TYPE UNSPECIFIEDTEXAS
9031150804MEDICAIDTEXAS
10031150805MEDICAIDTEXAS
118K3649MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.