{"npi":"1740239748","type":"NPI-1","status":"active","name":{"display":"Dr. Emmanuel Gallegos M.D.","other":[],"first":"EMMANUEL","last":"GALLEGOS","middle":"L.","credential":"M.D."},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"NM","license":"2000-189"}]},"addresses":[{"purpose":"LOCATION","street_1":"405 W COUNTRY CLUB RD","city":"ROSWELL","state":"NM","postal_code":"882015209","country_code":"US","phone":"5054912318"},{"purpose":"MAILING","street_1":"PO BOX 26666","city":"ALBUQUERQUE","state":"NM","postal_code":"871256666","country_code":"US","street_2":"PROVIDER ENROLLMENT","phone":"5059236770","fax":"5059235354"}],"license":{"state":"NM","number":"2000-189"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000A1115","state":"NM","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041118000217","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NM","pac_id":"1759345853"}]},"enumeration_date":"2006-05-08","last_updated":"2019-04-09","_meta":{"source":"NPPES","snapshot_date":"2019-04-09","doc_url":"https://findmynpi.com/api"}}