Individual
LUIS FERNANDO GONZALEZ MOSQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 MILITARY HEIGHTS PL, ROSWELL, NM 88201-6407
(575) 627-9110
(575) 627-9535
Mailing address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(888) 777-4167
(313) 916-4989
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD2025-0074
NM
390200000X
Student in an Organized Health Care Education/Training Program
4351048906
MI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/08/2018
Last updated
06/19/2025
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