Healthcare Provider Details

I. General information

NPI: 1316893621
Provider Name (Legal Business Name): HAPPY HEARTS PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7825
US

IV. Provider business mailing address

7342 BRAYS LANDING DR
EL PASO TX
79911-3030
US

V. Phone/Fax

Practice location:
  • Phone: 915-850-3431
  • Fax:
Mailing address:
  • Phone: 915-850-3431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NATALIA GOMEZ
Title or Position: OWNER/PEDIATRIC NURSE PRACTITIONER
Credential: DNP
Phone: 915-850-3431