UNION MEDICAL
NPI 1417212903
Clinic/Center - Primary Care in Roswell, NM

Active since July 10, 2012CLIA 32D2084389 · Waiver
304 S LEA AVE, ROSWELL, NM 88203(575) 578-4815(575) 578-4814 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Union Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNION MEDICAL (NPI 1417212903) is a healthcare organization registered as a primary care in Roswell, New Mexico and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through September 22, 2028 and lists Gonzalo Corona, Director, as its authorized official.

NPPES Registry Identity

NPI1417212903
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGOCORONA LLC
Location Address304 S LEA AVERoswell, NM 88203-4562
Mailing Address304 S Lea AveRoswell, NM 88203-4562 · (575) 578-4815 · Fax (575) 578-4814
Fax(575) 578-4814
Organization SubpartNo
Authorized OfficialGonzalo CoronaDirector · (575) 578-4815
Enumeration DateJuly 10, 2012
Last NPPES UpdateNovember 20, 2018
✔ NPI 1417212903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NM · MD2007-0650
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD2007-0650 (NM)
304 S LEA AVE, Roswell, NM 88203

Other Names 1

Doing Business AsUnion Medical

Other Identifiers 1

Medicaid11773537NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Union Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20120925000682Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Union Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1760685234
304 S LEA AVE
Roswell, NM 88203
(575) 578-4815
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2084389

Gocorona LLC · Roswell, NM
Active · expires Sep 22, 2028
CLIA Number32D2084389
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2026
Certificate Expiration DateSeptember 22, 2028
Laboratory DirectorGonzalo Corona Gonzalez
Laboratory Phone(575) 578-4815
Laboratory LocationGocorona LLC304 S Lea Ave, Roswell, NM 88203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gocorona LLC's NPI number?

The NPI number for Gocorona LLC is 1417212903. It was assigned to this organization in the NPPES registry on July 10, 2012. The provider is doing business as Union Medical.

Where is Gocorona LLC located?

Gocorona LLC is located at 304 S Lea Ave, Roswell, NM 88203. The listed phone number is (575) 578-4815.

What is Gocorona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Gocorona LLC enrolled in Medicare?

Yes. Gocorona LLC is registered in the Medicare PECOS enrollment system.

When is Gocorona LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gocorona LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Gocorona LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gocorona LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2084389) is associated with this NPI, valid through September 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gocorona LLC was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.