Mrs. Magdelenis Gongora
M.D. | Pediatric Critical Care Medicine | Female
Mrs. Magdelenis Gongora, M.D. is a San Antonio, Texas based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Mrs. Magdelenis Gongora is
4502 Medical Dr, San Antonio, Texas - 78229. She can be contacted on phone at
210-450-9000 and fax number 210-450-4903.
Mrs. Magdelenis Gongora is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Magdelenis Gongora is
1871850487 which was assigned by NPPES on 19 Apr, 2012 and it was last updated on 10 May, 2019.
Mrs. Magdelenis Gongora license number is
R8196 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Texas.
Mrs. Magdelenis Gongora is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Mrs. Magdelenis Gongora basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Mrs. Magdelenis Gongora |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mrs. Magdelenis Gongora address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4502 Medical Dr
San Antonio, TX, 78229
United States |
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| Phone Number : | 210-450-9000 |
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| Fax Number : | 210-450-4903 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871850487 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Apr, 2012 |
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| Last Updated On : | 10 May, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Magdelenis Gongora are as mentioned. Primary taxonomy code for Mrs. Magdelenis Gongora, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | R8196 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Magdelenis Gongora such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 395367103 | Other | TX | CSHCN |
| 395367102 | MEDICAID | TX | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1611 NW 12TH AVE,
MIAMI, FL, 33136-1005
United States | MIAMI, FL | 305-585-6042 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4502 Medical Dr
San Antonio, TX, 78229-4402
United States |
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| Phone Number : | 210-450-9000 |
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| Fax Number : | 210-450-4903 |
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Business Location:
Patients can refer following map for directions to
Mrs. Magdelenis Gongora practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.