Provider Demographics
NPI:1730657487
Name:GONZALEZ ROJAS, RAMON HIPOLITO (SA - C)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:HIPOLITO
Last Name:GONZALEZ ROJAS
Suffix:
Gender:M
Credentials:SA - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 JONES RD APT 201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4410
Mailing Address - Country:US
Mailing Address - Phone:786-832-5408
Mailing Address - Fax:
Practice Address - Street 1:9001 JONES RD APT 201
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4410
Practice Address - Country:US
Practice Address - Phone:786-832-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18-453246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant