IndividualActive
Mario Gonzalez
NPI 1083015283 · Basic Emergency Medical Technician · Fort Stewart, GA
Provider details
- NPI number
- 1083015283
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- E3104001 (TX)
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Registry dates
- Enumerated
- 2014-09-08
- Last updated
- 2014-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.