EDSON GONZALEZ DO
NPI 1336908714
Student in an Organized Health Care Education/Training Program in El Paso, TX

Active since March 18, 2024PECOS Enrolled
10175 GATEWAY BLVD W STE 140, EL PASO, TX 79925(915) 218-8828 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edson Gonzalez Do NPPES

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

EDSON GONZALEZ DO (NPI 1336908714) is an individual student in an organized health care education/training program in El Paso, Texas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336908714
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDSON GONZALEZCredential: DO
Location Address10175 GATEWAY BLVD W STE 140El Paso, TX 79925-2203
Mailing Address10175 Gateway Blvd W Ste 300El Paso, TX 79925-2203 · (915) 218-8828
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1336908714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10175 GATEWAY BLVD W STE 140, El Paso, TX 79925

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edson Gonzalez Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
10175 GATEWAY BLVD W STE 140
EL PASO, TX 79925
Student in an Organized Health Care Education/Training Program
10175 GATEWAY BLVD W STE 140
EL PASO, TX 79925
Student in an Organized Health Care Education/Training Program
10175 GATEWAY BLVD W STE 140
EL PASO, TX 79925
Student in an Organized Health Care Education/Training Program
10175 GATEWAY BLVD W STE 140
EL PASO, TX 79925
Student in an Organized Health Care Education/Training Program
10175 GATEWAY BLVD W STE 140
EL PASO, TX 79925
Student in an Organized Health Care Education/Training Program
10175 GATEWAY BLVD W STE 140
EL PASO, TX 79925
Student in an Organized Health Care Education/Training Program
10175 GATEWAY BLVD W STE 140
EL PASO, TX 79925
Student in an Organized Health Care Education/Training Program
10175 GATEWAY BLVD W STE 140
EL PASO, TX 79925

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 Edson Gonzalez's NPI number?

The NPI number for Edson Gonzalez is 1336908714. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Edson Gonzalez located?

Edson Gonzalez practices at 10175 Gateway Blvd W Ste 140, El Paso, TX 79925. The listed phone number is (915) 218-8828.

What is Edson Gonzalez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edson Gonzalez enrolled in Medicare?

Yes. Edson Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edson Gonzalez was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.