NPI 1457793143

Nathan Gonzales

Practitioner Paramedic Acoma, NM

Practice location

Address: 80b Veterans Blvd Acl Ihs, Acoma, NM 87034
Phone: (505) 552-5385
Fax: (505) 552-5828
Mailing address: PO Box 130, San Fidel, NM 87049-0130

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 07001577 (NM)

Other Emergency Medical Technician, Paramedic providers in New Mexico →

Registry record

NPI: 1457793143
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2013
Record last updated: 23 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.