National Provider Identifier Database

JERRY P GONZALES, LTC (RET), RN, MS – NPI #1023321890
Administrator

Contact Information

JERRY P GONZALES, LTC (RET), RN, MS
14747 OAK BRIAR
SAN ANTONIO, TX  78232-4679
Phone: 210-490-3048
Fax:
Website:
Specialty Taxonomy Code
* Administrator 163WA2000X
Ambulatory Care 163WP2201X
Continuing Education/Staff Development 163WC1600X
Diabetes Educator 163WD0400X
General Practice 163WG0000X
Medical-Surgical 163WM0705X
Nutrition Support 163WN1003X

* Indicates primary specialty

NPI Profile & details for JERRY P GONZALES

NPI Number 1023321890
Credentials LTC (RET), RN, MS
Entity Individual
Enumeration date 07/21/2010
Last updated 07/21/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • TX License #: 230082
  • VA License #: 230082
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JERRY P GONZALES, LTC (RET), RN, MS

There are currently no reviews for JERRY P GONZALES, LTC (RET), RN, MS

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