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Contact Information

SUSANNA M GONZALES, MD
1100 CENTRAL AVE SE FL 4
PMG INTENSIVISTS
ALBUQUERQUE, NM87106-4930
 Phone: 505-724-6145
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUSANNA M GONZALES · (Female)

NPI # 1992899371
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 06/02/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 2002-0465
  • NM License # 20020465
  • NM Medicaid 71639527
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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