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Individual

DR. FLOR J. CABALLAR GONZAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1901 RED ROCK DR, GALLUP, NM 87301-5683
(505) 863-7031
(505) 863-4505
Mailing address
1901 RED ROCK DR, GALLUP, NM 87301-5683
(505) 863-7301
(505) 863-4505

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
97-23
NM
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
97-23
NM
2084N0600X
Clinical Neurophysiology Physician
97-23
NM
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
97-23
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10002253
LOVELACE HEALTH/SALUD
NM
01
201014109
PRESBYTERIAN HEALTH/SALUD
01
370010516
RAILROAD MEDICARE
01
386161
AHCCCS
AZ
01
85031326887301A136
CHAMPUS
01
NM013076
BC/BS
NM
01
PROVP12052
MOLINA
NM
05
Q2996
NM
Enumeration date
01/06/2006
Last updated
06/05/2025
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