Individual
MIGUEL A. GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LND
Contact information
Practice address
URB. LA HACIENDA, HECR - SUITE # 108, GUAYAMA, PR 00785
(787) 686-0062
Mailing address
RR 1 BOX 6801, GUAYAMA, PR 00784-9608
(787) 864-4300
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
973
PR
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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