Gocorona LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD2007-0650 Issued in NM

Legal business name

GOCORONA LLC

Practice address

304 S Lea Ave
Roswell, NM 88203-4562

Phone

(575) 578-4815

Fax

(575) 578-4814

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gonzalo Corona, M.D

Title

Director

Phone

(575) 578-4815

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Union Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gocorona LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Union Medical

  • Primary Care Clinic/Center
  • Roswell, NM
  • NPI 1790197614
  NPD tax ID

Locations

Practitioners 1

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

• Gonzalo Corona-Gonzalez, MD

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1760685234
  Medicare reassignment NPD

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1417212903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S LEA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034562",
            "telephone_number": "575-578-4815",
            "fax_number": "575-578-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S LEA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034562",
            "telephone_number": "575-578-4815",
            "fax_number": "575-578-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOCORONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "575-578-4815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NM",
            "license": "MD2007-0650",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "MD2007-0650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11773537",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Union Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bailey Gladu
• Michelle Glass
• Richard Lee Glenn, D.C.
• Shawn M Glenny
• Global Green Management Corp
• Alyssa Gomez
• Veronica Gomez
• Anna Gonzales
• Gabriel Gonzales
• Haleigh Gonzales

• Primary Care Clinic/Center in Roswell, NM
• Providers in Roswell, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.