Individual
JUAN SANTOS GOMEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
URB JARDINES DE YABUCOA, B8 CALLE 3, YABUCOA, PR 00767
(787) 690-8280
(787) 656-9392
Mailing address
URB PASEOS DE JACARANDA, 15049 CALLE UCAR, SANTA ISABEL, PR 00757
(787) 415-4622
(787) 656-9392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15478
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101124
CRUZ AZUL
PR
01
—
22891-GO
TRIPLE-S
PR
01
—
400309
MMM
PR
01
—
581910517
MAPFRE
PR
01
—
7710000
HUMANA HEALTH PLAN
PR
Enumeration date
08/30/2006
Last updated
04/30/2019
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