# DIEGO GONZALEZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIEGO J GONZALEZ MD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134064504
- **Legal business name:** DIEGO J GONZALEZ MD PC
- **Authorized official:** DIEGO J GONZALEZ MD (DOCTOR)
- **Authorized official phone:** (505) 250-8337

## Contact information

- **Practice address:** 4630 JEFFERSON LANE NE, SUITE C, ALBUQUERQUE, NM 87109
- **Practice address phone:** (505) 633-4141
- **Mailing address:** 8100 WYOMING BLVD NE, SUITE M4 \#308, ALBUQUERQUE, NM 87113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2026
- **Last updated:** 04/22/2026