GONZALO A DIAZ (NPI# 1124684162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124684162 |
| Entity Type | Organization |
| Organization Name | GONZALO A DIAZ |
| Other Organization Name | LAS CRUCES SLEEP CENTER |
| Practice Address |
1155 Commerce Dr Ste G Las Cruces NM 88011-8257 |
| Mailing Address |
4305 N Mesa, Bldge B El Paso TX 79902 |
| Practice Telephone | 9157793778 |
| Practice Fax Number | 9157792822 |
| Mailing Telephone | 9157797378 |
| Mailing Fax Number | 9157792822 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | GONZALO A DIAZ (PHYSICAN/ OWNER) |
| Authorized Official Telephone | 9157797378 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GONZALO A DIAZ |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 79570054 | 05 |
| Other Name | Type Code |
|---|---|
| El Paso Sleep Disorders Center | Doing Business As Name - Organization |
| Las Cruces Sleep Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4305 N Mesa St Ste B, El Paso, TX 799021124 | 9157797378 | 9157792822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130732 | Gonzalo A Diaz | Internal Medicine | 1204 Main St Ne Ste A, Los Lunas, NM 87031-7423 | 2019-12-10 |
| 1679110530 | Gonzalo A Diaz | Internal Medicine | 1651 Galisteo St Ste 11, Santa Fe, NM 87505-2113 | 2019-12-10 |
| 1659901759 | Gonzalo A Diaz | Durable Medical Equipment & Medical Supplies | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2020-01-17 |
| 1619507720 | Gonzalo A Diaz | Durable Medical Equipment & Medical Supplies | 3030 Joe Battle Blvd, El Paso, TX 79938-2667 | 2020-01-17 |
| 1366089237 | Gonzalo A Diaz | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2019-12-10 |
| 1487291357 | Gonzalo A Diaz | Internal Medicine | 1009 Golf Course Rd Se, Rio Rancho, NM 87124-4704 | 2019-12-10 |
| 1326261249 | Gonzalo A Diaz | Internal Medicine | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2007-04-10 |
| Street Address |
1155 COMMERCE DR STE G |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528460029 | Sleep Lab of Las Cruces LLC | Internal Medicine | 2437 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130732 | Gonzalo A Diaz | Internal Medicine | 1204 Main St Ne Ste A, Los Lunas, NM 87031-7423 | 2019-12-10 |
| 1679110530 | Gonzalo A Diaz | Internal Medicine | 1651 Galisteo St Ste 11, Santa Fe, NM 87505-2113 | 2019-12-10 |
| 1619532652 | Sleep Eze, LLC | Internal Medicine | 4801 N Butler Ave Ste 6102, Farmington, NM 87401-2624 | 2019-05-06 |
| 1366089237 | Gonzalo A Diaz | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2019-12-10 |
| 1487291357 | Gonzalo A Diaz | Internal Medicine | 1009 Golf Course Rd Se, Rio Rancho, NM 87124-4704 | 2019-12-10 |
| 1003182809 | Nicholas James Cutrufello | Internal Medicine | 1009 Golf Course Rd Se Ste 109, Rio Rancho, NM 87124-4705 | 2012-03-26 |
| 1336162437 | John W Doggett | Internal Medicine | 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 | 2006-07-26 |
| 1285657304 | Robert C Albers | Internal Medicine | 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 | 2006-07-26 |
| 1710989512 | Joseph D Kern | Internal Medicine | 4700 Jefferson St Ne, Suite 800, Albuquerque, NM 87109-2136 | 2005-08-11 |
| City | LAS CRUCES |
| Zip Code | 88011 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.