NPI age
14 years
Enumerated 2012-04-19
● Active
Type 1 · Individual
MRS. Magdelenis Gongora, M.D.
Gongora is 1 of 4 pediatrics providers in Fort Sam Houston and 1 of 383 in Texas.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 383 active pediatrics providers in Texas.
NPI age
14 years
↓ 2 yr below median (16 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
1
In the 58% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
4502 Medical Dr
San Antonio, TX 78229
Location 3
1611 Nw 12th Ave
Miami, FL 331361005
Location 4
1611 Nw 12th Ave
Miami, FL 331361005
Specialties
-
Pediatrics PrimaryA pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 395367103 | CSHCN |
| 05 (TX) | 395367102 |
Practice context
Part of a multi-provider practice. 1394 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.