Individual
ANJELICA ALLEGRA MONCADA-GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-2100
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1097163
TX
2080P0203X
Pediatric Critical Care Medicine Physician
1097163
TX
363LA2100X
Acute Care Nurse Practitioner
1097163
TX
363LP0200X
Pediatric Nurse Practitioner
1097163
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1097163
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2022
Last updated
11/07/2022
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