| Gocorona Llc | |
|
304 S Lea Ave Roswell NM 88203-4562 | |
| (575) 578-4815 | |
| (575) 578-4814 |
| Full Name | Gocorona Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 304 S Lea Ave, Roswell, New Mexico |
| Authorized Official Name and Position | Gonzalo Corona (DIRECTOR) |
| Authorized Official Contact | 5755784815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gocorona Llc 304 S Lea Ave Roswell NM 88203-4562 Ph: (575) 578-4815 | Gocorona Llc 304 S Lea Ave Roswell NM 88203-4562 Ph: (575) 578-4815 |
| NPI Number | 1417212903 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 11/20/2018 |
| Medicare PECOS PAC ID | 3577712199 |
|---|---|
| Medicare Enrollment ID | O20120925000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417212903 | NPI | - | NPPES |
| 11773537 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD2007-0650 (New Mexico) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | MD2007-0650 (New Mexico) | Primary |
| Provider Name | Gonzalo Corona-gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760685234 PECOS PAC ID: 9537346614 Enrollment ID: I20110527000546 |
Donald J Willis D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W Country Club Rd, Suite 9, Roswell, NM 88201 Phone: 575-624-2095 Fax: 575-627-5721 | |
Southern New Mexico Medical Association, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W. Country Club Rd, Roswell, NM 88201 Phone: 505-623-1442 Fax: 505-623-3835 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 Fax: 629-216-0568 | |
Roswell Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W Hobbs St, Roswell, NM 88203 Phone: 575-623-5263 | |
Roswell Osteopathic Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 W. Hobbs St., Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273 | |
Lovelace Health System, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 S Union Ave, Roswell, NM 88203 Phone: 575-208-0106 | |
Eye Catchers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 E College Blvd, Roswell, NM 88201 Phone: 575-625-9800 Fax: 575-624-1724 |