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STEPHANIE GONZALEZ, DPM, PA
NPI 1972127512
Clinic/Center - Podiatric in Las Cruces, NM

Active since May 29, 2020
4151 CAMINO COYOTE STE B, LAS CRUCES, NM 88011(575) 680-2227(575) 680-2228 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2020, Jun 15, 2020, Jun 4, 2020 and 1 more (4 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Podiatric

About STEPHANIE GONZALEZ, DPM, PA

This page provides the complete NPI Profile along with additional information for Stephanie Gonzalez, Dpm, Pa, a provider established in Las Cruces, New Mexico operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1972127512 assigned on May 2020. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Stephanie Gonzalez, Dpm, Pa. The authorized official of this NPI record is Stephanie Gonzalez Dpm (Podiatrist/owner)

NPI
1972127512 Verify this NPI
Provider Legal Name
STEPHANIE GONZALEZ DPM PA
Other Organization Name
STEPHANIE GONZALEZ, DPM, PA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4151 CAMINO COYOTE STE B LAS CRUCES, NM 88011
Location Phone
(575) 680-2227
Location Fax
(575) 680-2228
Mailing Address
PO BOX 221463 EL PASO, TX 79913
Mailing Phone
(575) 680-2227
Mailing Fax
(575) 680-2228
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-29-2020
Last Update Date
06-23-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHANIE GONZALEZ DPM

Authorized Official Title
PODIATRIST/OWNER
Authorized Official Phone
(575) 680-2227

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Frequently Asked Questions

What is STEPHANIE GONZALEZ DPM PA's NPI number?

The NPI number assigned to this healthcare provider is 1972127512, enumerated as an "organization" on May 29, 2020.

Where is the provider located?

The provider is located at 4151 CAMINO COYOTE STE B LAS CRUCES, NM 88011 and the phone number is (575) 680-2227.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.