NPIMap

Organization Active NPI

Gonzalo a Diaz

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1619507720
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GONZALO A DIAZ
Practice address
3030 Joe Battle Blvd
El Paso, TX 79938-2667
Phone
(915) 242-1634
Fax
(915) 242-1651
NPI assigned
Jan 17, 2020
Organization subpart
Yes
Parent organization
GONZALO A DIAZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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
Physician/ 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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3030 Joe Battle Blvd
El Paso, TX 79938-2667

Mailing address

1016 Quinta Antigua LN
El Paso, TX 79912-2039
Phone (915) 779-7378

Other identifiers 1

IdentifierTypeStateIssuer
081351102MedicaidTX

Other names 1

  • EL Paso Sleep Center INC. 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.

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.

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": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1619507720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 QUINTA ANTIGUA LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122039",
            "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": "3030 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382667",
            "telephone_number": "915-242-1634",
            "fax_number": "915-242-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO A DIAZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GONZALO A DIAZ",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "915-779-7378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081351102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL Paso Sleep Center INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.