Antonio Martin Gonzales, SW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

M-2120 Issued in NM

Practice address

1300 Camino Sierra Vis # 125
Santa Fe, NM 87505-1007

Phone

(505) 467-2504

Fax

(505) 467-2646

NPI assigned

Dec 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1992988349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MONTEZ ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875013752",
            "telephone_number": "505-467-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CAMINO SIERRA VIS # 125",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051007",
            "telephone_number": "505-467-2504",
            "fax_number": "505-467-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ANTONIO",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "SW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-2120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "M-2120",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Suzanne Gonyier, LMFT
• Angela Marie Gonzale, PHARM D
• Juile Gonzales-Najar
• Diana M Gonzales-Pacheco, LD
• Antonio J Gonzales IV
• Audrey Monique Gonzales
• Bryan Ignacio Gonzales
• Camille M Gonzales, CNP
• Carlos Gonzales, LADAC
• George Misael Gonzales, RPH

• School Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.