Individual
DEANNA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MSC10 5610 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-2409
(505) 272-4161
(505) 272-2776
Mailing address
1 UNIVERSITY OF NEW MEXICO MSC10 5610, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MDR-8089
HI
208600000X
Surgery Physician
Primary
RS2022-0732
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2022-0732
NM
Other
Enumeration date
11/03/2020
Last updated
02/11/2026
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