DIEGO J GONZALEZ MD PC (NPI# 1518478866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518478866 |
| Entity Type | Organization |
| Organization Name | DIEGO J GONZALEZ MD PC |
| Practice Address |
500 Walter St Ne Ste 309 Albuquerque NM 87102-2562 |
| Mailing Address |
9904 San Bernardino Dr Ne Albuquerque NM 87122-3214 |
| Practice Telephone | 5057277177 |
| Practice Fax Number | 5057273778 |
| Mailing Telephone | 5052507361 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | DR. DIEGO GONZALEZ (OWNER) |
| Authorized Official Telephone | 5052507361 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
MD2008-0165 | NM | Ambulatory Health Care Facilities |
| Street Address |
500 WALTER ST NE STE 309 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184060535 | Teresa Castellano | Pharmacist | 500 Walter St Ne Ste 309, Albuquerque, NM 87102-2562 | 2013-05-13 |
| 1164841136 | Jay Wojcik | Orthopaedic Surgery | 500 Walter St Ne Ste 309, Albuquerque, NM 87102-2562 | 2014-04-07 |
| 1043638802 | Patrick Gilligan | Orthopaedic Surgery | 500 Walter St Ne Ste 309, Albuquerque, NM 87102-2562 | 2014-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164697868 | Osuna Medical Associates, Pa | Clinic/Center | 5740 Osuna Rd Ne, Albuquerque, NM 87109-2527 | 2008-04-24 |
| 1780147454 | Lovelace Unm Rehabilitation Hospital LLC Pain Clinc | Clinic/Center | 500 Walter St Ne Ste 213, Albuquerque, NM 87102-2543 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801365317 | Sierra Vista Hospital 69 | Clinic/Center | 800 E 9th Ave, T Or C, NM 87901-1954 | 2018-11-14 |
| 1528585049 | St Vincent Hospital | Clinic/Center | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2017-08-25 |
| 1568992600 | Pain & Spine Clinic of New Mexico PC | Clinic/Center | 4401 E Lohman Ave, Las Cruces, NM 88011 | 2017-06-12 |
| 1063785921 | Mesilla Valley Pain Clinic, LLC | Clinic/Center | 1240 S Telshor Blvd Ste A, Las Cruces, NM 88011-4731 | 2012-02-22 |
| 1922305580 | Smith Chiropractic, PC | Clinic/Center | 1707 E 20th St, Farmington, NM 87401-4309 | 2011-02-17 |
| 1962537027 | John S Caskey M.d., LLC | Clinic/Center | 1421 Luisa St, Unit I, Santa Fe, NM 87505-4073 | 2007-02-22 |
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on DIEGO J GONZALEZ MD PC.
| 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.