NPIMap

Organization Active NPI

Gonzalo a Diaz

  • Sleep Medicine (Internal Medicine) Physician
  • Rio Rancho, NM
National Provider Identifier
1487291357
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
1009 Golf Course Rd SE
Rio Rancho, NM 87124-4704
Phone
(915) 779-7378
Fax
(915) 779-2822
NPI assigned
Dec 10, 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
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

1009 Golf Course Rd SE
Rio Rancho, NM 87124-4704

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
79570054MedicaidNM

Other names 1

  • Rio Rancho Sleep Center Doing business as

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

1009 Golf Course Rd SE
Rio Rancho, NM 87124

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": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1487291357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021124",
            "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": "1009 GOLF COURSE RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244704",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO A DIAZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GONZALO A DIAZ",
        "enumeration_date": "2019-12-10",
        "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": "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": [],
    "other_names": [
        {
            "organization_name": "Rio Rancho Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rio Rancho Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, 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.