Gonzalez, Diego J
Gonzalez, Diego J is an individual health care provider with primary practice located at 8300 Carmel Ave Ne Ste 500-501 , Albuquerque NM 87122-3147. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gonzalez, Diego J can be contacted via phone (505) 633-4141.Contact Information
Primary practice address
8300 Carmel Ave Ne Ste 500-501
Albuquerque NM 87122-3147
Phone: (505) 633-4141
Fax: (505) 633-4144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2004-0201 | New Mexico |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2004-0201 | New Mexico |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD2004-0201 | New Mexico |
Profile Details
| NPI number | 1194715938 |
|---|---|
| LBN Legal business name | Gonzalez, Diego J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Apr 14th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194715938 | NPPES |
| New Mexico | MEDICAID | 58830839 |
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