Individual
PEDRO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
2327 CALLE REINA, SANTA FE, NM 87507-6909
(505) 920-6031
Mailing address
2327 CALLE REINA, SANTA FE, NM 87507-6909
(505) 920-6031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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