Gonzales, Susanna Marie
Gonzales, Susanna Marie is an individual health care provider with primary practice located at 1100 Central Ave Se Fl 4 Pmg Intensivists, Albuquerque NM 87106-4930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Gonzales, Susanna Marie can be contacted via phone (505) 724-6145.Contact Information
Primary practice address
1100 Central Ave Se Fl 4 Pmg Intensivists
Albuquerque NM 87106-4930
Phone: (505) 724-6145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20020465 | New Mexico |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2002-0465 | New Mexico |
Profile Details
| NPI number | 1992899371 |
|---|---|
| LBN Legal business name | Gonzales, Susanna Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 2nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992899371 | NPPES |
| New Mexico | MEDICAID | 71639527 |
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