| Mr Eduardo Maniti Gonzales Jr, CNP | |
|
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
| (505) 722-1000 | |
| Not Available |
| Full Name | Mr Eduardo Maniti Gonzales Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417215294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | CNP-02723 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gallup Indian Medical Center | Gallup, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs,phs,naihs Gallup Indian Medical Center | 3173436409 | 134 |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eduardo Maniti Gonzales Jr, CNP 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 | Mr Eduardo Maniti Gonzales Jr, CNP 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Vernon Anthony Osborn, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Fifth St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-443-8344 | |
Mr. Joseph Lee Eliason, CNP, FNP-C, CWS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Nm - 564, Gallup, NM 87301 Phone: 505-522-3681 Fax: 505-473-9552 | |
Mrs. Gail Crawford, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Raelynn Benally, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-397-5172 Fax: 877-396-1184 | |
Mrs. Relindis Mana Akwanga, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Fifth St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2961 | |
Donna J Rich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 432-888-4130 | |
Ms. Maria Elena Torres, ARNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1496 |