Individual
NIDIA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 AZALEA, EST SANTA BARBARA, GURABO, PR 00778
(787) 469-3267
(787) 746-1086
Mailing address
56 AZALEA, EST SANTA BARBARA, GURABO, PR 00778
(787) 469-3267
(787) 746-1086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4153
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4153
PHARMACIST LICENSE
PR
01
—
66364
PHAMACISTS REGISTRATION
PR
Enumeration date
12/02/2015
Last updated
12/02/2015
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