Individual ProviderIrazu Martinez GonzalezSocial WorkerBehavioral Health & Social Service ProvidersPractice Address232 E Gish Rd, San Jose, CA 95112-4706(669) 308-0789PECOS EnrollmentBased on the most recent information from CMS, provider Irazu Martinez Gonzalez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1891233680Provider TypeIndividualFull NameMartinez Gonzalez, IrazuGenderFemaleSole ProprietorNoEnumeration Date2/1/2017Last Updated3/4/2024Contact InformationPractice LocationPractice Address232 E Gish Rd, San Jose, CA 95112-4706Phone(669) 308-0789FaxUnlisted FaxMailing LocationMailing Address232 E Gish Rd, San Jose, CA 95112-4706Phone(669) 308-0789FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense112678CaliforniaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer