Angelica Maria Gonzales

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C-4382 Issued in NM

Practice address

502 Fernandez Rd
Los Lunas, NM 87031-8703

Phone

(505) 508-3503

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Los Lunas Schools

  • Local Education Agency (LEA)
  • Los Lunas, NM
  • NPI 1336233220
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1962659243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MAIN ST NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318712",
            "telephone_number": "505-865-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 FERNANDEZ RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318703",
            "telephone_number": "505-508-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Goldberg, PHARMD
• Annalisa Golowacz, MA, LPCC
• Dora Sandra Gomez, B.A., M.S.
• Roberto Matthew Gomez, PHARMD
• Alysha Gonzales
• Anthony D Gonzales, DDS
• Elsa Marie Gonzales, MSN, NP-C
• Fermin Andres Gonzales
• Isaac Gonzales
• Natalia Elena Gonzales

• Speech-Language Pathologist in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.