# GRUPO FISIATRICO GOMEZ HERNANDEZ CSP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154593424
- **Authorized official:** DR. CESAR G GOMEZ MD (PHYSIATRIST)
- **Authorized official phone:** (787) 276-7006

## Contact information

- **Practice address:** AVENIDA FRAGOSO \# 4ES-12, VILLA FONTANA, CAROLINA, PR 00983
- **Practice address phone:** (787) 276-7006
- **Practice address fax:** (787) 276-7030
- **Mailing address:** PMB 122 PO BOX 2500, TRUJILLO ALTO, PR 00977-2500
- **Mailing address phone:** (787) 276-7006
- **Mailing address fax:** (787) 276-7030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 15786 | PR | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008