GONZALO A DIAZ


Address: 1204 Main St Ne Ste A, Los Lunas, NM 87031-7423
Phone: 9157797378

GONZALO A DIAZ (NPI# 1871130732) 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) 1871130732
Entity Type Organization
Organization Name GONZALO A DIAZ
Other Organization Name LOS LUNAS SLEEP CENTER
Practice Address 1204 Main St Ne Ste A
Los Lunas
NM 87031-7423
Mailing Address 4305 N Mesa St Ste B
El Paso
TX 79902-1124
Practice Telephone 9157797378
Practice Fax Number 9157792822
Mailing Telephone 9157797378
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 Lunas Sleep Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
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

Office Location

Street Address 1204 MAIN ST NE STE A
City LOS LUNAS
State NM
Zip Code 87031-7423

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407466212 Juanita Arcelia Flores-hull Registered Nurse 19670 Highway 314, Belen, NM 87031 2020-08-06
1184267171 Nicole Andrea Bassett Registered Nurse 236 Don Pasqual Rd, Los Lunas, NM 87031 2019-10-22
1922649359 Darrel Thompson Physical Therapist 2211 Main St, Ne, Los Lunas, NM 87031 2019-10-07
1407415235 Brittany Leigh Dow Family Medicine 328 Main St Sw, Los Lunas, NM 87031 2019-06-05
1942764162 Christine Beevers Occupational Therapy Assistant 310 Bonita Vista Blvd, Los Lunas, NM 87031 2019-01-23
1669953105 Patricia A Ziehl Occupational Therapy Assistant 119 Luna Ave., Los Lunas, NM 87031 2018-08-23
1922500776 Mellisa Marie Everett Massage Therapist 3414 Nm- 47, Los Lunas, NM 87031 2018-03-07
1831699917 Nachelle Lynn Pell Registered Nurse 310 Bonita Vista, Los Lunas, NM 87031 2018-02-15
1053829135 Valencia Denise Jackson Registered Nurse 46 Chacon Rd., Los Lunas, NM 87031 2018-01-11
1548777972 Aja Santana Armijo Speech-Language Pathologist 46 Chacon Blvd., Los Lunas, NM 87031 2018-01-08
Find all providers in zip 87031

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
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
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
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

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City LOS LUNAS
Zip Code 87031

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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