Individual
JOSE LUIS GONZALEZ -SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3741 RUTLEDGE RD NE, ALBUQUERQUE, NM 87109-5566
(505) 798-9300
(505) 798-0808
Mailing address
3741 RUTLEDGE RD NE, ALBUQUERQUE, NM 87109-5566
(505) 798-9300
(505) 798-0808
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
K4069
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
95-247
NM
207VM0101X
Maternal & Fetal Medicine Physician
K4069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153066901
—
TX
01
—
88M955
BCBS OF TEXAS
TX
Enumeration date
09/07/2006
Last updated
11/20/2014
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