DIEGO J GONZALEZ MD PC NPI 1518478866

NPI Information

DIEGO J GONZALEZ MD PC is a pain clinic center in Albuquerque, NM. DIEGO J GONZALEZ MD PC NPI is 1518478866. The provider is registered as an organization entity type.
The provider Is Doing Business As New Mexico Pain Associates.

The provider's business location address is:

8300 CARMEL AVE NE STE 500-501
ALBUQUERQUE, NM
ZIP 87122-147
Phone: (505) 633-4141
Fax: (505) 633-4144

The provider's authorized official is Diego Gonzalez .
The authorized official title is Owner and has the following contact phone number (505) 633-4141.

The CLIA number assigned to this NPI record is 32D1067444 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2017 and was last updated on 11/9/2021.

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:

Other Identifiers

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