Individual
DR. DIEGO J GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8300 CARMEL AVE NE STE 500-501, ALBUQUERQUE, NM 87122-3147
(505) 633-4141
(505) 633-4144
Mailing address
8100 WYOMING BLVD NE # M4308, ALBUQUERQUE, NM 87113-1946
(505) 633-4141
(505) 243-4804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2004-0201
NM
207LP2900X
Pain Medicine (Anesthesiology) Physician
2004-0201
NM
208VP0014X
Interventional Pain Medicine Physician
Primary
MD2004-0201
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58830839
—
NM
Enumeration date
10/24/2005
Last updated
04/14/2022
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