Organization
JAMES GONZALES CORPORATION LLC
Active
Other names
Gonzales Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ORLANDO GONZALES MD (MANAGING MEMBER)
(505) 554-4579
Entity
Organization
Contact information
Practice address
12208 MIRANDY CT NE, ALBUQUERQUE, NM 87122-1274
(505) 554-4579
Mailing address
12208 MIRANDY CT NE, ALBUQUERQUE, NM 87122-1274
(505) 554-4579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
01/17/2024
Last updated
05/07/2024
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