ANTONIO J GONZALES

SANTA FE, NM
NPI1306379664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  MD2020-0150)
Enumeration Date2017-04-04
Last Update Date2022-03-22
Business Address
Mr. ANTONIO J GONZALES
454 ST MICHAELS DR STE 200
SANTA FE, NM 87505-7602
Phone number: 505-303-5000
Mailing Address
Mr. ANTONIO J GONZALES
PO BOX 26666
ALBUQEURQUE, NM 87125-6666
Phone number: 505-923-9770