Caballar Gonzaga, Flor J.

Caballar Gonzaga, Flor J. is an individual health care provider with primary practice located at 1211 E Aztec Ave , Gallup NM 87301-4901. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Caballar Gonzaga, Flor J. can be contacted via phone (505) 863-1820.

Contact Information

Primary practice address
1211 E Aztec Ave Gallup NM 87301-4901
Phone: (505) 863-1820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 97-23 New Mexico
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 97-23 New Mexico
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 97-23 New Mexico

Profile Details

NPI number 1336127653
LBN Legal business name Caballar Gonzaga, Flor J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Oct 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336127653 NPPES
Arizona Other 386161 AHCCCS
Arizona Other NM013076 AHCCCS
Arizona Other PROVP12052 AHCCCS
Arizona MEDICAID Q2996 AHCCCS
Arizona Other 201014109 AHCCCS
Arizona Other 370010516 AHCCCS
Arizona Other 10002253 AHCCCS
Arizona Other 85031326887301A136 AHCCCS

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