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Individual

CESAR GERARDO GOMEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
#4ES-12 AVE. FRAGOSO, VILLA FONTANA, CAROILINA, PR 00983
(787) 276-7006
(787) 276-7030
Mailing address
35 JC BORBON, STE 67 PMB 353, GUAYNABO, PR 00969-5375
(787) 630-0563
(787) 439-2154

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
15786
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23406 GO
TRIPLE S
PR
01
9570042
HUMANA
PR
Enumeration date
10/11/2005
Last updated
07/08/2007
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