Individual
ALBERTO GONZALEZ-VILLAVERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6900
(505) 332-6921
Mailing address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6900
(505) 332-6921
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25014
KY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD2011-0003
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64250145
—
KY
Enumeration date
05/18/2006
Last updated
10/21/2019
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