Individual
DR. RICARDO GOMEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPT OF ANESTHESIA MSC 11 6120, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2610
Mailing address
12200 ACADEMY RD NE, APT # 213, ALBUQUERQUE, NM 87111-7245
(559) 936-1151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207L00000X
NM
207L00000X
Anesthesiology Physician
Primary
MD2013-0555
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS00219185
NEW MEXICO PHARMACY BOARD
NM
01
—
MD2013-0555
NEW MEXICO MEDICAL LICENSE
NM
Enumeration date
06/28/2009
Last updated
02/04/2022
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