MISS MARISSA GONZALEZ IDMT
NPI 1427574235
Military Health Care Provider - Independent Duty Medical Technicians in Apo, AP

Active since August 15, 2017

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2022, Aug 15, 2017 (2 updates tracked since 2017).

About Miss Marissa Gonzalez Idmt NPPES

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

MISS MARISSA GONZALEZ IDMT (NPI 1427574235) is an individual independent duty medical technicians provider in Apo, AP and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1427574235
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMISS MARISSA GONZALEZCredential: IDMT
Location AddressUNIT 5071Apo, AP 96328-5071
Mailing Address2105 W Boone AveSpokane, WA 99201-2901 · (210) 995-5051
Sole ProprietorYes
Enumeration DateAugust 15, 2017
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1427574235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

Other Names 1

Former Name (1)Miss Marissa Gonzalez

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.

Dentist (General Practice)
UNIT 5071
APO, AP 96328
Dentist (Periodontics)
UNIT 5071
APO, AP 96328
Physician Assistant (Surgical)
UNIT 5071
APO, AP 96328
Family Medicine
UNIT 5071
APO, AP 96328
Family Medicine
UNIT 5071
APO, AP 96328
Family Medicine
UNIT 5071
APO, AP 96328
Obstetrics & Gynecology
UNIT 5071
APO, AP 96328
Pediatrics
UNIT 5071
APO, AP 96328

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 Marissa Gonzalez's NPI number?

The NPI number for Marissa Gonzalez is 1427574235. It was assigned to this individual provider in the NPPES registry on August 15, 2017. The provider is also known as Miss Marissa Gonzalez.

Where is Marissa Gonzalez located?

Marissa Gonzalez practices at Unit 5071, Apo, AP 96328. The listed phone number is (210) 475-2413.

What is Marissa Gonzalez's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Marissa Gonzalez was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.