Individual
MR. CARLOS ALBERTO GOMEZ-MARCIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1462 PROFESOR AUGUSTO RODRIGUEZ, SANTURCE, PR 00910-2137
(787) 641-1616
Mailing address
100 GRAND BOULEVARD PASEO, SUITE 112-190, SAN JUAN, PR 00926-5955
(787) 397-0263
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
6196
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6196
LICENCE
PR
Enumeration date
10/09/2006
Last updated
04/29/2015
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