VITAL LIFE WELLNESS CENTER
NPI 1184894701
Clinic/Center in San Antonio, TX

Active since March 11, 2008
2520 BROADWAY ST, SUITE 100, SAN ANTONIO, TX 78215(210) 595-1019(210) 251-3194 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vital Life Wellness Center NPPES

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

VITAL LIFE WELLNESS CENTER (NPI 1184894701) is a healthcare organization registered as a clinic/center in San Antonio, Texas and active in the NPI registry since March 2008. The organization lists Bernice Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1184894701
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBERNICE GONZALEZ, MD, PA
Location Address2520 BROADWAY ST, SUITE 100San Antonio, TX 78215-1004
Mailing Address2520 Broadway Street, Suite 100San Antonio, TX 78215 · (210) 595-1019 · Fax (210) 251-3194
Fax(210) 251-3194
Organization SubpartNo
Authorized OfficialBernice GonzalezPresident · (210) 595-1019
Enumeration DateMarch 11, 2008
Last NPPES UpdateMay 8, 2013
NPI 1184894701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in TX · J6466
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2520 BROADWAY ST, San Antonio, TX 78215

Other Names 1

Doing Business AsVital Life Wellness Center

Other Identifiers 2

Medicare PIN8050M3TX
Medicare UPINF87394TX

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
2520 BROADWAY ST, SUITE 100
SAN ANTONIO, TX 78215
Family Medicine
2520 BROADWAY ST, SUITE 100
SAN ANTONIO, TX 78215
Family Medicine
2520 BROADWAY ST, STE #100
SAN ANTONIO, TX 78215
Nurse Practitioner (Family)
2520 BROADWAY ST, SUITE 100
SAN ANTONIO, TX 78215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernice Gonzalez, MD, PA's NPI number?

The NPI number for Bernice Gonzalez, MD, PA is 1184894701. It was assigned to this organization in the NPPES registry on March 11, 2008. The provider is doing business as Vital Life Wellness Center.

Where is Bernice Gonzalez, MD, PA located?

Bernice Gonzalez, MD, PA is located at 2520 Broadway St Suite 100, San Antonio, TX 78215. The listed phone number is (210) 595-1019.

What is Bernice Gonzalez, MD, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bernice Gonzalez, MD, PA was last updated on May 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.