Amanda Gonzales
Individual provider Active NPI Case Manager/Care Coordinator · Bernalillo, NM
NPI 1669858205 · NPPES record last updated Aug 5, 2015
Key facts
- NPI
- 1669858205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 301 S Camino del Pueblo
Bernalillo, NM 87004-6276 - Phone
- (505) 867-2383
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valle del Sol of New Mexico, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
301 S Camino del Pueblo
Bernalillo, NM 87004-6276
Mailing address
282 S Camino del Pueblo Ste 2C
Bernalillo, NM 87004-5913
Phone (505) 288-3897
Other providers in Bernalillo, NM
- Julia Fox
- Megan Friedman
- Arthur Fuldauer
- Dianna Lynne Fury
- Marian Gaisthia
- Angela Dawn Gonzales
- Maria C. Gonzales
- Mariah Gonzales
- Bryan Graziano
- Marie Kathleen Griego
All providers in Bernalillo, NM · Case Manager/Care Coordinator 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 Aug 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.