Alyssa Gonzales is a Medical in Albuquerque, New Mexico. Alyssa Gonzales practices all healthcare services and medical treatments related to Medical. The NPI Number for Alyssa Gonzales is 1992990436. The last update date is 2019-05-09.
Alyssa Gonzales's current location address is 9101 Montgomery Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052754270 and fax number 5052321017. The mailing address for Alyssa Gonzales is 9101 Montgomery Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alyssa Gonzales |
|---|---|
| Address | 9101 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Phone Number | 5052754270 |
| Fax Number | 5052321017 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1992990436 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2019-05-09 |
Provider Mailing Address Detail
| Address | 9101 Montgomery Blvd Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 87111 |
| Phone Number | 5052754270 |
| Fax Number | 5052321017 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA2005-0043 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 739847 | NM | -- |
Post Comment/ Review Below
What is the Alyssa Gonzales's unique identification number?
The Alyssa Gonzales has been assigned the NPI (National Provider Identifier) Number 1992990436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Alyssa Gonzales's facilities are geographically located?
The facilities of Alyssa Gonzales are physically situated at the following location: 9101 Montgomery Blvd Ne, Albuquerque, NM, 87111.
What is Alyssa Gonzales's area of expertise and its corresponding taxonomy classification?
The Alyssa Gonzales's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Alyssa Gonzales receive its 1992990436 assignment from the Centers for Medicare & Medicaid Services?
The Alyssa Gonzales was assigned its 1992990436 by the Centers for Medicare & Medicaid Services on 2007-09-07.
As of what date were the details pertaining to Alyssa Gonzales last refreshed?
The information related to the Alyssa Gonzales, including its address, specialty, and other relevant details, was last updated on 2019-05-09.