MAYRA GONZALEZ CCP
NPI 1043721442
Perfusionist in San Antonio, TX

Q: What is Mayra Gonzalez's NPI number?

The NPI number for Mayra Gonzalez is 1043721442. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Q: What is Mayra Gonzalez's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Gonzalez was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2017

14603 HUEBNER RD STE 28101, SAN ANTONIO, TX 78230(210) 614-7074 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2025, Jan 7, 2020, Oct 12, 2017 (3 updates tracked since 2017).

On this page

About Mayra Gonzalez Ccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA GONZALEZ CCP (NPI 1043721442) is an individual perfusionist provider in San Antonio, Texas, licensed in Texas (FPF02000046) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1043721442

Entity TypeIndividualFemale

Primary Taxonomy242T00000X

Provider Legal NameMAYRA GONZALEZCredential: CCP

Location Address14603 HUEBNER RD STE 28101San Antonio, TX 78230-5497

Mailing Address14603 Huebner Rd Ste 28101San Antonio, TX 78230-5497 · (210) 614-7074

Phone(210) 614-7074

Sole ProprietorNo

Enumeration DateOctober 12, 2017

Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1043721442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code242T00000X

License✔ Licensed in TX · FPF02000046

Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

14603 HUEBNER RD STE 28101, San Antonio, TX 78230

Open in Google Maps ↗

Other Identifiers 1

OtherFPF02000046TX · Texas Medical Board

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN MESA CCP

Perfusionist