MR. NATHAN GONZALES NPI 1457793143

NPI Information

  • NPI: 1457793143
  • Provider Name: MR. NATHAN GONZALES
  • Classification: Emergency Medical Technician, Paramedic - 146L00000X
  • Entity Type: Individual
  • Address: 80B VETERANS BLVD
    ACL IHS
    ACOMA, NM
    ZIP 87034
  • Phone: (505) 552-5385

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NPI Details

MR. Nathan Gonzales is an emergency medical technician paramedic in Acoma, NM. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. MR. Nathan Gonzales NPI is 1457793143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80B VETERANS BLVD
ACL IHS
ACOMA, NM
ZIP 87034
Phone: (505) 552-5385
Fax: (505) 552-5828

The enumeration date for this NPI number is 7/23/2013 and was last updated on 7/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146L00000XEmergency Medical Technician, Paramedic07001577NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1320070MEDICARE OSCAR/CERTIFICATIONNEW MEXICO
2H3451MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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