MIGUEL CUAUHTEMOC GOMEZ (NPI# 1790197721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790197721 |
| Entity Type | Individual |
| Full Name | MIGUEL CUAUHTEMOC GOMEZ |
| Credential | MD |
| Practice Address |
5608 Zuni Rd Se Albuquerque NM 87108-2926 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5052622481 |
| Practice Fax Number | 5052657045 |
| Mailing Telephone | 5053686001 |
| Mailing Fax Number | 5053687011 |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2019-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD2019-0802 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A143066 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Us Hwy 491 North, Shiprock, NM 87420 | 5053686001 | 5053687011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093915936 | Miguel A. Gomez | Nutritionist | Urb. La Hacienda, Hecr - Suite # 108, Guayama, PR 00785 | 2007-07-19 |
| 1881153583 | Miguel Anthony Gomez IIi | Marriage & Family Therapist | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2019-03-13 |
| 1326418203 | Miguel Angel Gomez Jr. | Counselor | 200 S 5th St, El Centro, CA 92243-3013 | 2015-10-05 |
| 1700206430 | Miguel Gomez I | Adult Companion | 1232 Nw 23rd Ave, Portland, OR 97210-2906 | 2014-04-21 |
| 1639139926 | Miguel A. Gomez | Surgery | 902 Frostwood Dr, #144, Houston, TX 77024-2420 | 2006-03-23 |
| 1487629010 | Miguel Jose Gomez | Specialist | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2006-02-17 |
| 1760487714 | Miguel Angel Gomez | Specialist | 19260 Sw 65th Ave, Ste 420, Tualatin, OR 97062-5712 | 2005-06-16 |
| Street Address |
5608 ZUNI RD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343386 | Reynaldo J. Lobato | Social Worker | 5608 Zuni Rd Se, Albuquerque, NM 87108 | 2005-08-17 |
| 1720607682 | Crystal Norberto | Counselor | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2020-04-10 |
| 1134774862 | Rosanna Reid Flores | Dentist | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2019-08-08 |
| 1720574304 | Loan Phan | Counselor | 5608 Zuni Rd Se, Albuquerque, NM 87108 | 2018-07-06 |
| 1306359021 | Ruth D Vargas | Social Worker | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2017-11-16 |
| 1447770573 | Silvia Del Rosario Lopez | Nurse Practitioner | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2017-06-20 |
| 1639618952 | Michelle Christine Adams | Social Worker | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2017-02-20 |
| 1487103206 | Venus Etsitty | Counselor | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2016-09-22 |
| 1194271304 | Melissa Sosa | Counselor | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2016-08-28 |
| 1336692458 | Nandi Baldwin | Counselor | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2016-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
| 1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
| 1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
| 1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
| 1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
| 1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
| 1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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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.