Amanda Gonzales
Case Manager/Care Coordinator in Bernalillo, NM. Individual provider (NPI-1).
NPI number1669858205
StatusActive
Last updated in NPPESAug 5, 2015
Details
- NPI
- 1669858205
- Entity type
- Individual (NPI-1)
- Name
- Amanda Gonzales
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2015
- Last updated
- Aug 5, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
301 S Camino Del PuebloBernalillo, NM 87004-6276
Phone 505-867-2383
Mailing address
282 S Camino Del Pueblo Ste 2cBernalillo, NM 87004-5913
Phone 505-288-3897
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 39 Case Manager/Care Coordinator providers in Bernalillo · All 254 providers in Bernalillo
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