MR. LUIS DE JESUS GONZALEZ (NPI# 1265885420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265885420 |
| Entity Type | Individual |
| Full Name | MR. LUIS DE JESUS GONZALEZ |
| Credential | PHARMD |
| Practice Address |
301 Unser Blvd Nw Albuquerque NM 87121 |
| Mailing Address |
8517 Ironside Ave Ne Albuquerque NM 87109-5049 |
| Practice Telephone | 5059254126 |
| Mailing Telephone | 9152042114 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PC00000280 | NM | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1175 Mount Hood Ave, Woodburn, OR 970719060 | 5039822000 | |
| 3401 4th St Nw, Albuquerque, NM 871072423 | 5059945300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663780 | Luis Gonzalez | Licensed Vocational Nurse | 819 Sprucewood Ln, San Antonio, TX 78216-6039 | 2020-09-14 |
| 1538717137 | Luis Enrique Gonzalez | Social Worker | 10435 Sw 7th St, Miami, FL 33174-1662 | 2019-08-28 |
| 1740761055 | Luis Gonzalez | Pharmacist | Walmart Puerto Rico Inc, State Road #3 Km 15.2 Barrio Canovanillas, Carolina, PR 00987 | 2018-08-24 |
| 1194262485 | Luis Gonzalez | Nurse Practitioner | 16800 Nw 2nd Ave # 250, North Miami Beach, North Miami Beach, FL 33169-5549 | 2017-01-24 |
| 1639598915 | Luis Gonzalez | Counselor | 142 Osborne Rd, Albany, NY 12205-1934 | 2014-04-15 |
| 1457606394 | Luis E. Gonzalez | Pharmacist | Sr190 & Campo Rico, Carolina, PR 00979 | 2012-07-17 |
| 1942555107 | Luis M Gonzalez Sr. | Internal Medicine | 1200 S Federal Hway, Lux Medical Health Center, Hollywood, FL 33020 | 2012-07-13 |
| 1316221021 | Luis M Gonzalez | Counselor | 280 May St, Worcester, MA 01602-2548 | 2011-09-30 |
| 1851687800 | Luis Gonzalez | Clinic/Center | 145 Madeira Ave Ste 202, Coral Gables, FL 33134-4520 | 2011-06-28 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| Street Address |
301 UNSER BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083613 | Hope R Ferdowsian | Internal Medicine | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2006-09-16 |
| 1740834795 | Rosa E Munoz | Psychologist | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2019-07-29 |
| 1932751641 | Cindy K Hoang | Family Medicine | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2019-07-12 |
| 1649731647 | Jessica Wilcken | Student in an Organized Health Care Education/Training Program | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2019-03-31 |
| 1720590284 | Nicole Whitman Clements | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121 | 2017-10-24 |
| 1710496062 | Joy Beth Sturm | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2017-09-28 |
| 1083083067 | Leslie Dunlap | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2015-09-19 |
| 1346532199 | Lucia Darlach | Psychologist | 301 Unser Blvd Nw, Sw Mesa Clinic, Albuquerque, NM 87121-1927 | 2011-05-12 |
| 1962793851 | Lindsay Fox | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2011-04-26 |
| 1508195652 | Abdul W Mamdani | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831752286 | Eillim De Jesus Rentas | Pharmacist | 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 | 2019-04-20 |
| 1720589336 | Colin Wingfield Williams | Pharmacist | 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 | 2018-02-28 |
| 1669855698 | Krystle Tapia | Pharmacist | 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 | 2015-07-08 |
| 1043642200 | Ladonna Marie Bonnin | Pharmacist | Msc09 5080, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-07-30 |
| 1649550526 | Rucha Bond | Pharmacist | Msc 09 5360, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-08-23 |
| 1871871236 | Patricia Marshik | Pharmacist | Msc09 5360, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-08-02 |
| 1417280561 | James L Maestas | Pharmacist | 11421 Paseo Del Oso Ne, Albuquerque, NM 87111-2666 | 2009-09-08 |
| 1457504177 | Thanh-huong Nguyen | Pharmacist | 1909 Sea Foam St Nw, Albuquerque, NM 87120-6245 | 2008-10-25 |
| 1952561250 | Benton Dwight | Pharmacist | 12400 Smokey Mountain Way Ne, Albuquerque, NM 87111-7274 | 2008-06-11 |
| 1427662527 | Amre Elmaoued | Pharmacist | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-09-04 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.