Individual
JOSE R GOMEZ GEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PR-149, REPARTO VILLA ALBERTA SUITE #2, MANATI, PR 00674
(787) 316-5424
Mailing address
PO BOX 414, MANATI, PR 00674-0414
(787) 854-6562
(787) 854-3143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19248
PR
208D00000X
General Practice Physician
19248
PR
Other
Enumeration date
01/21/2016
Last updated
08/19/2021
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