Organization
DIEGO J GONZALEZ MD PC
Active
Other names
New Mexico Pain Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO GONZALEZ MD (OWNER)
(505) 633-4141
Entity
Organization
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 STE M4, ALBUQUERQUE, NM 87113-1963
(505) 633-4141
(505) 633-4144
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
MD2008-0165
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61574244
—
NM
Enumeration date
10/13/2017
Last updated
11/09/2021
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