Individual
EDGAR J. GOMEZ DEL VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13006
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13006
—
PR
Enumeration date
04/06/2018
Last updated
11/16/2020
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