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Contact Information

RICARDO R GONZALES, PhD
168 AVE. DE SAN MARCOS
GLORIETA, NM87535
 Phone: 505-757-2216
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for RICARDO R GONZALES · (Male)

NPI Number 1932185840
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/22/2005
Last updated 01/14/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 3779
  • NM License # 414
  • NM Medicaid N1903
  • NM Medicaid N6708
  • NM Medicaid N6708/N1903
Hospital affiliation(s) Not Available
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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