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Contact Information

FERNANDO L GONZALEZ, MD
1010 SPRUCE ST
ESPAÑOLA, NM87532-2724
 Phone: 505-367-0360
 Fax: 505-367-4495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for FERNANDO L GONZALEZ · (Male)

NPI Number 1558352609
Credentials MD
Entity Individual
Enumeration date 10/28/2005
Last updated 06/12/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
IN License # 01060971A
NM License # MD2012-0231
IN Medicaid 200527960
IN Medicare (Unspecified) 146470B3
IN Medicare UPIN E93789
Hospital affiliation(s)
  • COMMUNITY HOSPITAL OF BREMEN INC - (Critical Access)
    1020 HIGH RD
    BREMEN, IN 46506
  • ESPANOLA HOSPITAL - (Acute Care)
    1010 SPRUCE STREET
    ESPANOLA, NM 87532
  • 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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