Individual
DENISE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PMG HOSPITALISTS, 1100 CENTRAL SE 4TH FLOOR, ALBUQUERQUE, NM 87106
(505) 724-6124
(505) 724-6125
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2007-0231
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD2007-0231
NM
207RP1001X
Pulmonary Disease Physician
MD2007-0231
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18955312
—
NM
Enumeration date
06/16/2005
Last updated
09/08/2014
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