Individual
DR. JAMES O GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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) 221-6212
(505) 221-5551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2016-0688
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564431YN9W
MEDICARE
NM
05
—
82957053
—
NM
Enumeration date
04/04/2014
Last updated
03/14/2025
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