Provider Demographics
NPI:1558187864
Name:GONZALEZ, MARGARITA MOLINA
Entity type:Individual
Prefix:
First Name:MARGARITA MOLINA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14845 HUNTERS GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-3134
Mailing Address - Country:US
Mailing Address - Phone:325-320-1351
Mailing Address - Fax:325-320-1351
Practice Address - Street 1:14845 HUNTERS GROVE AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-3134
Practice Address - Country:US
Practice Address - Phone:325-320-1351
Practice Address - Fax:325-320-1351
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home