Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loretta Gonzales

Individual provider Medical Physician Assistant · NPI 1356005680

Loretta Gonzales is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2023, 3 years ago. Practices with Western Dermatology Consultants PC, a 6-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
3
Licensed in
NM
In the registry since
2021
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Practice location Address checks out

10151 Montgomery Blvd NE Bldg 1
Albuquerque, NM 87111-3670
Phone: (505) 855-5503
Fax: (505) 855-5533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2023-0232 (NM)

Record details

NPI number1356005680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2021
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address10151 Montgomery Blvd Ne Bldg 1, Albuquerque, NM 87111-3670

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Western Dermatology Consultants Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Albuquerque