Rene Gonzalez, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

86-234 Issued in NM

Practice address

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808

Phone

(505) 750-2034

NPI assigned

Mar 10, 2009

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Services of New Mexico LLC

  dba Central Desert Behavioral Health Center

  • Psychiatric Hospital
  • Albuquerque, NM
  • NPI 1427330679
  Medicare reassignment NPD
• Behavioral Health Services of New Mexico LLC

  dba Central Desert Behavioral Health Center

  • Psychiatry Physician
  • Albuquerque, NM
  • NPI 1477913697
  NPD
• New Mexico Behavioral Healthcare LLC

  • Psychiatric Hospital
  • Albuquerque, NM
  • NPI 1033809256
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1659512309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 BROADWAY BLVD NE STE 500",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022367",
            "telephone_number": "505-232-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074808",
            "telephone_number": "505-750-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423012956",
            "country_code": "US",
            "telephone_number": "270-689-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "86-234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22605304",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Esperanza Gonzalez
• Nicholas Anthony Gonzalez, M.D.
• Nicolasa Gonzalez
• Nora Gonzalez
• Raul K Gonzalez, LPCC
• Sandraluz Gonzalez, RDH
• Selene Gonzalez
• Sophia Gonzalez
• Steven Gonzalez, CPSW
• Tania L Gonzalez, BSN RN

• Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.