NPIMap

Organization Active NPI

Gonzalo a Diaz

  • Sleep Medicine (Internal Medicine) Physician
  • Las Cruces, NM
National Provider Identifier
1124684162
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
GONZALO A DIAZ
Practice address
1155 Commerce Dr Ste G
Las Cruces, NM 88011-8257
Phone
(915) 779-3778
Fax
(915) 779-2822
NPI assigned
May 15, 2019
Organization subpart
Yes
Parent organization
GONZALO A DIAZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gonzalo A Diaz, MDNPI 1134129240
Title
Physican/ Owner
Phone
(915) 779-7378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

1155 Commerce Dr Ste G
Las Cruces, NM 88011-8257

Mailing address

4305 N Mesa, Bldge B
El Paso, TX 79902
Phone (915) 779-7378

Other practice location 1

4305 N Mesa St Ste B
El Paso, TX 79902-1124
Phone (915) 779-7378

Other identifiers 1

IdentifierTypeStateIssuer
79570054MedicaidNM

Other names 1

  • Las Cruces Sleep Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diaz@elpasosleepcenter.com Direct

National Provider Directory

National Provider Directory
Tax ID family
El Paso Sleep Disorder Center10 organizations share this tax ID, including this one
Part of
El Paso Sleep Disorder Center

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4305 N Mesa St
Ste B
El Paso, TX 79902
Phone 91577973781024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1124684162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N MESA, BLDGE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 COMMERCE DR STE G",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118257",
            "telephone_number": "915-779-3778",
            "fax_number": "915-779-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 N Mesa St Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799021124",
            "country_code": "US",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GONZALO A DIAZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GONZALO A DIAZ",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAN/ OWNER",
        "authorized_official_telephone_number": "915-779-7378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79570054",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diaz@elpasosleepcenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4305 N Mesa St Ste B",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799021124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Las Cruces Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Cruces Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.