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Individual
DR. MARTIN GOMEZ
Active
Individual
DR. MARTIN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19902
PR
208D00000X
General Practice Physician
Primary
ACN1098
FL
390200000X
Student in an Organized Health Care Education/Training Program
14316-I
PR
Other
Enumeration date
10/25/2016
Last updated
10/15/2018
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