Gilberto Alvarez-Colon, M.D.
Individual provider Active NPI Pediatrics Physician · Gallup, NM
NPI 1437115557 · NPPES record last updated Dec 28, 2009
Key facts
- NPI
- 1437115557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 12917 (PR)
- Practice address
- 516 East Nizhoni Blvd
Gallup, NM 87301-1337 - Phone
- (505) 722-1290
- Fax
- (505) 722-1268
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091130000596 | TX | Practitioner - Pediatric Medicine | 3375682628 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12917 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients |
Locations
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12917 | PR | Yes |
Addresses
Primary practice location
516 East Nizhoni Blvd
Gallup, NM 87301-1337
Mailing address
PO Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1290
Other providers in Gallup, NM
- Edward Procopio Alonzo
- Shaquetta Aloway
- Nooreddeen Alsadi
- Michele Alteveer
- Melissa Rene Alvarado
- Curtis J Amado
- Timothy L. Ambrose
- Karthik Anandan
- Frances B Andablo
- Arlene Lopez Anderson
All providers in Gallup, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.