Jacquez, Antonio Gonzales

Jacquez, Antonio Gonzales is an individual health care provider with primary practice located at 900 Central , Bayard NM 88023. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Jacquez, Antonio Gonzales can be contacted via phone (505) 537-4000.

Contact Information

Primary practice address
900 Central Bayard NM 88023
Phone: (505) 537-4000
Fax: (505) 537-3921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2225 New Mexico

Profile Details

NPI number 1659400828
LBN Legal business name Jacquez, Antonio Gonzales
Credentials COTAL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers