Individual
DR. RENE CLEMENTE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
63 GOYCO STREET, CAGUAS, PR 00725-2828
(787) 744-5200
(787) 744-5200
Mailing address
PO BOX 1117, CAGUAS, PR 00726-1117
(787) 744-5200
(787) 744-5200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
003656
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95762GO
PRIVATE PLAN NO SSS
PR
Enumeration date
06/24/2005
Last updated
06/21/2011
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