Active NPI
Diego Gonzalez MD PC
- Rehabilitation Clinic/Center
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- DIEGO GONZALEZ MD PC
- Practice address
- 4630 Jefferson Lane NE
Suite C
Albuquerque, NM 87109 - Phone
- (505) 633-4141
- NPI assigned
- Apr 22, 2026
- Organization subpart
- Yes
- Parent organization
- DIEGO J GONZALEZ MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diego J Gonzalez, MD
- Title
- Doctor
- Phone
- (505) 250-8337
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
4630 Jefferson Lane NE
Suite C
Albuquerque, NM 87109
Mailing address
8100 Wyoming Blvd NE
Suite M4 #308
Albuquerque, NM 87113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Diego J Gonzalez MD PC
Locations
8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pain Clinic/Center
- Albuquerque, NM
- NPI 1518478866
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Albuquerque, NM
- NPI 1194715938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1134064504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 WYOMING BLVD NE",
"address_2": "SUITE M4 #308",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 JEFFERSON LANE NE",
"address_2": "SUITE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-633-4141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIEGO GONZALEZ MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIEGO J GONZALEZ MD PC",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "DIEGO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "505-250-8337",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.