Union Medical

LBN: Gocorona Llc
Union Medical is an health care organization with primary practice located at 304 S Lea Ave , Roswell NM 88203-4562. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Gocorona Llc can be contacted via phone (575) 578-4815, or through Corona, Gonzalo via phone (575) 578-4815.

Contact Information

Primary practice address
304 S Lea Ave Roswell NM 88203-4562
Fax: (575) 578-4814
Website:
Authorized official contact:
Name: Corona, Gonzalo Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD2007-0650 New Mexico
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD2007-0650 New Mexico

Profile Details

NPI number 1417212903
LBN Legal business name Gocorona Llc
DBA Doing business as Union Medical
Authorized official Corona, Gonzalo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2012
Last updated Nov 20th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417212903 NPPES
New Mexico MEDICAID 11773537

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