GONZALO A DIAZ


Address: 3917 West Rd, Los Alamos, NM 87544-2275
Phone: 9157797378

GONZALO A DIAZ (NPI# 1366089237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366089237
Entity Type Organization
Organization Name GONZALO A DIAZ
Other Organization Name LOS ALAMOS
Practice Address 3917 West Rd
Los Alamos
NM 87544-2275
Mailing Address 4305 N Mesa St Ste B
El Paso
TX 79902-1124
Practice Telephone 9157797378
Practice Fax Number 9157792822
Mailing Telephone 9157787378
Mailing Fax Number 9157792822
Enumeration Date 2019-12-10
Last Update Date 2019-12-20
Authorized Official Name GONZALO A DIAZ (OWNER)
Authorized Official Telephone 9157797378
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name GONZALO A DIAZ

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 79570054 05

Other Provider/Organization Names

Other Name Type Code
Los Alamos Doing Business As Name - Organization

Other Provider IDs and Locations

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
1124684162 Gonzalo A Diaz Internal Medicine 1155 Commerce Dr Ste G, Las Cruces, NM 88011-8257 2019-05-15
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
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

Office Location

Street Address 3917 WEST RD
City LOS ALAMOS
State NM
Zip Code 87544-2275

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031321 Jan M Merin Internal Medicine 3917 West Rd, Los Alamos, NM 87544-2275 2005-05-23
1124576327 Clay Schneider Nurse Practitioner 3917 West Rd, Los Alamos, NM 87544-2275 2016-09-15
1093167330 Laura K Merrigan Nurse Practitioner 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 2016-07-11
1043675473 Total Renal Care Inc Clinic/Center 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 2015-12-30
1225414253 Sarah Versackas Registered Nurse 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 2015-07-31
1700273745 Apogee Medical Group General Acute Care Hospital 3917 West Rd, Los Alamos, NM 87544-2275 2015-04-16
1679965883 Los Alamos Emergency Medical Associates Inc Emergency Medicine 3917 West Rd, Los Alamos, NM 87544-2275 2015-02-25
1659773612 Eric Jonathan Krinsky Physician Assistant 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 2014-09-22
1740681311 Robin Jean Norman Physician Assistant 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 2014-09-14
1245679000 Kelly M Young Registered Nurse 3917 West Rd, Ste. A, Los Alamos, NM 87544-2275 2013-06-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679945935 Zia Home Health Home Health 1475 Central Ave., Suite 125, Los Alamos, NM 87544 2015-10-27
1295131167 Sara Pocernik Dietitian, Registered 1450 Iris Street, Los Alamos, NM 87544 2014-11-05
1760824890 Lisa Renee Marr Lyon Psychologist 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 2013-07-17
1558629725 Rachel Meyer Dentist 112 Central Park Square, Los Alamos, NM 87544 2012-04-25
1902183908 Susana T. Chavarria Occupational Therapist 5 Quemazon Pl., Los Alamos, NM 87544 2011-11-04
1881998664 Dr. Tom Child and Adolescent Medicine Pediatrics Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 2011-01-07
1952565905 Dawn Judy Barr Social Worker 3 Agila Ct, Los Alamos, NM 87544 2008-07-17
1649452129 Ellen Vandergust Ballard Dentist 111 Longview, Suite B-3, White Rock, NM 87544 2007-11-27
1629290283 Wildwind Dental Dentist 111 Longview Drive, Suite B3, Los Alamos, NM 87544 2007-05-03
1255407342 Sarah Sue Teasdale Counselor 1362 C Trinity Dr, Los Alamos, NM 87544 2006-11-28
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
1124684162 Gonzalo A Diaz Internal Medicine 1155 Commerce Dr Ste G, Las Cruces, NM 88011-8257 2019-05-15
1619532652 Sleep Eze, LLC Internal Medicine 4801 N Butler Ave Ste 6102, Farmington, NM 87401-2624 2019-05-06
1487291357 Gonzalo A Diaz Internal Medicine 1009 Golf Course Rd Se, Rio Rancho, NM 87124-4704 2019-12-10
1528460029 Sleep Lab of Las Cruces LLC Internal Medicine 2437 S Telshor Blvd, Las Cruces, NM 88011-5049 2014-09-16
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
Find all providers with the same taxonomy

Competitor

Search similar providers

City LOS ALAMOS
Zip Code 87544

Improve Information

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Dataset Information

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.

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