GONZALO A DIAZ (NPI# 1619507720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619507720 |
| Entity Type | Organization |
| Organization Name | GONZALO A DIAZ |
| Practice Address |
3030 Joe Battle Blvd El Paso TX 79938-2667 |
| Mailing Address |
1016 Quinta Antigua Ln El Paso TX 79912-2039 |
| Practice Telephone | 9152421634 |
| Practice Fax Number | 9152421651 |
| Mailing Telephone | 9157797378 |
| Mailing Fax Number | 9157792822 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | GONZALO A DIAZ (PHYSICIAN/ 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 081351102 | 05 |
| Other Name | Type Code |
|---|---|
| EL Paso Sleep Center INC. | Doing Business As Name - Organization |
| 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 |
| 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 |
3030 JOE BATTLE BLVD |
| City | EL PASO |
| State | TX |
| Zip Code | 79938-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326136243 | Carol N Abalihi | Internal Medicine | 3030 Joe Battle Blvd, Suite B, El Paso, TX 79938-2667 | 2006-10-10 |
| 1467097683 | El Paso Sleep Disorder Center | Internal Medicine | 3030 Joe Battle Blvd, El Paso, TX 79938-2667 | 2019-11-12 |
| 1447768783 | Monicke Magnon | Nurse Practitioner | 3030 Joe Battle Blvd, El Paso, TX 79938-2667 | 2018-01-22 |
| 1932648334 | Lu-hsun Shih | Nurse Practitioner | 3030 Joe Battle Blvd, El Paso, TX 79938-2667 | 2017-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047795 | Brooke Raanne Beaver | Behavioral Analyst | Wells Fargo Plaza, Kansas St # 700, El Paso, TX 79938 | 2019-11-15 |
| 1386109635 | Judith Roman | Nurse Practitioner | 12810 Edgemere, El Paso, TX 79938 | 2019-01-31 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1851868384 | Possibilities Speculation, Pllc | Dentist | 2260 N Zaragoza Rd Unit A112, El Paso, TX 79938 | 2018-11-02 |
| 1578030276 | Connor Family Dentistry East Pllc | Dentist | 1920 N. Zaragoza Rd., Suite 107, El Paso, TX 79938 | 2018-10-31 |
| 1952895039 | Marlen Hernandez Cortez | Behavior Technician | 15165 Snohomish Loop, El Paso, TX 79938 | 2018-06-21 |
| 1497287155 | Assisting Alliance L.L.C. | Physician Assistant | 14048 Oso Rock Way, El Paso, TX 79938 | 2017-03-31 |
| 1619428703 | Sege Medical PC | Family Medicine | 2260 N Zaragoza, Suite A118, El Paso, TX 79938 | 2016-10-24 |
| 1891148110 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12051 Tierra Este Rd, El Paso, TX 79938 | 2016-07-21 |
| 1639538077 | Early Bird Pediatric Therapy Clinic, Inc | Occupational Therapist | 2114 N Zaragoza Rd Ste C1, El Paso, TX 79938 | 2016-02-13 |
| Find all providers in zip 79938 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893973 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3612 Pera Ave Ste P1, El Paso, TX 79905-2412 | 2020-08-27 |
| 1902423684 | Pretty In Pink Inc | Durable Medical Equipment & Medical Supplies | 2004 Montana Ave Ste A, El Paso, TX 79903-3414 | 2020-06-29 |
| 1588281174 | Jedi Force Inc | Durable Medical Equipment & Medical Supplies | 2004 Montana Ave Ste C, El Paso, TX 79903-3414 | 2020-06-29 |
| 1578188488 | Medesco Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1450 George Dieter Dr Apt 8f, El Paso, TX 79936-7608 | 2020-06-16 |
| 1033732144 | Axis Medical, LLC | Durable Medical Equipment & Medical Supplies | 4141 Pinnacle St Ste 109, El Paso, TX 79902-1017 | 2020-05-22 |
| 1871129072 | Urgent Care Dme Inc | Durable Medical Equipment & Medical Supplies | 1116 Wyoming Ave, El Paso, TX 79902-5541 | 2020-03-19 |
| 1275168957 | Jesse Teng, D.d.s., P.a. | Durable Medical Equipment & Medical Supplies | 5551 N Mesa St Ste A, El Paso, TX 79912-5455 | 2020-03-03 |
| 1275176711 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 9244 Gateway Blvd E Ste D, El Paso, TX 79907-1848 | 2019-10-28 |
| 1578127189 | Bhs Physicians Network, Inc. | Durable Medical Equipment & Medical Supplies | 7420 Remcon Cir Ste A2, El Paso, TX 79912-3529 | 2019-04-29 |
| 1720554108 | Star Formula Inc | Durable Medical Equipment & Medical Supplies | 1477 Lomaland Dr Ste B1, El Paso, TX 79935-4704 | 2018-10-23 |
| Find all providers in EL PASO | ||||
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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.