Gocorona LLC
NPI 1417212903ActiveOrganization· Clinic/Center, Primary Care· Roswell, NM
Clinic/Center, Primary Care in Roswell, New Mexico, registered in NPPES in July 2012. The authorized official on file is Gonzalo Corona, M.D, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417212903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2012 |
| Last updated in NPPES | Nov 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Primary Care Primary | 261QP2300X | MD2007-0650 | NM |
| General Practice | 208D00000X | MD2007-0650 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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