| Ricardo R. Gonzalez, O.d., P.a. | |
|
609 E. Edinburg Ave., Elsa, TX 78543 | |
| (956) 262-2020 | |
| (956) 262-2080 |
| Full Name | Ricardo R. Gonzalez, O.d., P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 609 E. Edinburg Ave., Elsa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104900307 | NPI | - | NPPES |
| 176834301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3344T (Texas) | Primary |
| Provider Name | Ricardo R Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851475057 PECOS PAC ID: 4284613795 Enrollment ID: I20040719000244 |
| Provider Name | Stephanie Leticia Serna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174379531 PECOS PAC ID: 2365976644 Enrollment ID: I20241108001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo R. Gonzalez, O.d., P.a. Po Box 1137, Elsa, TX 78543-1137 Ph: (956) 262-2020 | Ricardo R. Gonzalez, O.d., P.a. 609 E. Edinburg Ave., Elsa, TX 78543 Ph: (956) 262-2020 |
Dr. Stephanie Leticia Serna, OD Optometrist Medicare: Medicare Enrolled Practice Location: 609 Tx-107, Elsa, TX 78543 Phone: 956-262-2020 | |
Dr. Ricardo Rene Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 E. Edinburg Ave., Elsa, TX 78543 Phone: 956-262-2020 Fax: 956-262-2080 |