Sandraluz Gonzalez, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH12280 Issued in NM

Practice address

5317 Don Miguel PL SW
Albuquerque, NM 87105-5410

Phone

(505) 550-6042

NPI assigned

May 23, 2013

Last updated

May 23, 2013By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SW Myofunctional Therapy LLC

  • Dental Hygienist
  • Albuquerque, NM
  • NPI 1255778874
  NPD (past) Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1992142517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 DON MIGUEL PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055410",
            "telephone_number": "505-550-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 DON MIGUEL PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055410",
            "telephone_number": "505-550-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SANDRALUZ",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH12280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Anthony Gonzalez, M.D.
• Nicolasa Gonzalez
• Nora Gonzalez
• Raul K Gonzalez, LPCC
• Rene Gonzalez, MD
• Selene Gonzalez
• Sophia Gonzalez
• Steven Gonzalez, CPSW
• Tania L Gonzalez, BSN RN
• Yvette Gonzalez, MHW

• Dental Hygienist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.