GOCORONA LLC (NPI# 1417212903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417212903 |
| Entity Type | Organization |
| Organization Name | GOCORONA LLC |
| Other Organization Name | UNION MEDICAL |
| Practice Address |
304 S Lea Ave Roswell NM 88203-4562 |
| Practice Telephone | 5755784815 |
| Practice Fax Number | 5755784814 |
| Mailing Telephone | 5755784815 |
| Mailing Fax Number | 5755784814 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | DR. GONZALO CORONA (DIRECTOR) |
| Authorized Official Telephone | 5755784815 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | MD2007-0650 | NM | Allopathic & Osteopathic Physicians |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD2007-0650 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 11773537 | 05 |
| Other Name | Type Code |
|---|---|
| Union Medical | Doing Business As Name - Organization |
| Street Address |
304 S LEA AVE |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760685234 | Gonzalo Corona-gonzalez | Family Medicine | 304 S Lea Ave, Roswell, NM 88203-4562 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457619934 | Pangea Medical LLC | Clinic/Center | 2604 Gaye Dr, Roswell, NM 88201-3427 | 2012-05-02 |
| 1548534522 | Alpharetta Ob/gyn, P.c | Clinic/Center | 11205 Alpharetta Hwy Ste E2, Roswell, GA 30076-5646 | 2012-03-08 |
| 1629623343 | La Clinica, LLC | Clinic/Center | 10479 Alpharetta St Ste 18, Roswell, GA 30075-3764 | 2019-08-08 |
| 1407382567 | Pecos Valley Wellness LLC | Clinic/Center | 401 N Union Ave, Roswell, NM 88201-3948 | 2017-05-11 |
| 1306255922 | Perimeter Medical Wellness | Clinic/Center | 1250 Upper Hembree Rd, Ste B, Roswell, GA 30076-4651 | 2014-08-07 |
| 1790197614 | Union Medical | Clinic/Center | 207 N Union Ave Ste H, Roswell, NM 88201-3068 | 2014-05-27 |
| 1669894622 | Smart Primary Care LLC | Clinic/Center | 540 E Crossville Rd, Suite 211, Roswell, GA 30075-7661 | 2014-01-10 |
| 1235433418 | Elite Care Internal Medicine PC | Clinic/Center | 1240 Upper Hembree Rd, Ste D, Roswell, GA 30076-0914 | 2011-01-03 |
| 1982886248 | Omer L. Eubanks Md, PC | Clinic/Center | 1155 Hembree Rd, Suite 210, Roswell, GA 30076-4622 | 2007-11-28 |
| 1770799702 | Alpharetta Internal Medicine Associates, PC | Clinic/Center | 1380 Upper Hembree Rd, Roswell, GA 30076-1146 | 2007-05-15 |
| Find all providers in ROSWELL | ||||
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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.