Active NPI
Good Life Med Spa
- Massage Therapist
- Belen, NM
National Provider Identifier
1801702394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- GOOD LIFE MED SPA
- Practice address
- 315 W Reinken Ave Ste B
Belen, NM 87002-4257 - Phone
- (505) 510-1621
- NPI assigned
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edwardjames Gonzales
- Title
- Director
- Phone
- (505) 510-1621
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
315 W Reinken Ave Ste B
Belen, NM 87002-4257
Mailing address
315 W Reinken Ave Ste B
Belen, NM 87002-4257
Phone (505) 510-1621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1801702394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 W REINKEN AVE STE B",
"city": "BELEN",
"state": "NM",
"postal_code": "870024257",
"telephone_number": "505-510-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W REINKEN AVE STE B",
"city": "BELEN",
"state": "NM",
"postal_code": "870024257",
"telephone_number": "505-510-1621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE MED SPA",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-23",
"status": "A",
"authorized_official_last_name": "GONZALES",
"authorized_official_first_name": "EDWARDJAMES",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "505-510-1621",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belen, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.