Look up the most recent NPI and PECOS records

Jaime Gonzalez

Internal Medicine

Allopathic & Osteopathic Physicians

4800 Alberta Ave, El Paso, TX 79905-2709

PECOS Enrollment

Based on the most recent information from CMS, provider Jaime Gonzalez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1477848695
Provider Type
Individual
Full Name
Gonzalez, Jaime
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/15/2011
Last Updated
6/15/2011

Contact Information

Practice Location

4800 Alberta Ave, El Paso, TX 79905-2709

(915) 545-6616

Unlisted Fax

Mailing Location

574 River Valley St, El Paso, TX 79915-4829

(915) 539-8286

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License BP10040409 Texas

Jaime Gonzalez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Alhariri, Sara

Araujo Gutierrez, Raquel

Renteria, Oswaldo Francisco

Ayvali, Fatih

Muthineni, Venkata Abhilash Bab

Drew, Terrance M.

Rodriguez, Luis L.

Tahir, Muhammad Moiz

Saenz Alvarado, Rodrigo Jose

Vasallo, Javier Alejandro