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Organization
JAMES GONZALES CORPORATION LLC
Active
Organization
JAMES GONZALES CORPORATION LLC
Active
Other names
Gonzales Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ORLANDO GONZALES MD (MANAGING MEMBER)
(505) 554-4579
Entity
Organization
Contact information
Practice address
12208 MIRANDY CT NE, ALBUQUERQUE, NM 87122-1274
(505) 554-4579
Mailing address
12208 MIRANDY CT NE, ALBUQUERQUE, NM 87122-1274
(505) 554-4579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
01/17/2024
Last updated
05/07/2024
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