NPIMap

Organization Active NPI

Union Medical

  • Primary Care Clinic/Center
  • Roswell, NM
National Provider Identifier
1790197614
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD2007-0650 Issued in NM
Legal business name
UNION MEDICAL
Practice address
207 N Union Ave Ste H
Roswell, NM 88201-3068
Phone
(575) 578-4815
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Gonzalo Corona-Gonzalez, M.D.NPI 1760685234
Title
Physican
Phone
(575) 578-4815

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
Primary Care Clinic/Center 261QP2300X MD2007-0650 NM Primary

Addresses

Primary practice location

207 N Union Ave Ste H
Roswell, NM 88201-3068

Mailing address

207 N Union Ave Ste H
Roswell, NM 88201-3068

National Provider Directory

National Provider Directory
Tax ID family
Gocorona LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

207 N Union Ave
Ste H
Roswell, NM 88201
Phone (505) 624-0486

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": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1790197614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N UNION AVE STE H",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N UNION AVE STE H",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013068",
            "telephone_number": "575-578-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "CORONA-GONZALEZ",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "575-578-4815",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "MD2007-0650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.