Individual
VON MARIE GOMEZ-ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
S13 CALLE DIAMANTE, BAYAMON, PR 00957-6848
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12834
PR
Other
Enumeration date
02/27/2012
Last updated
07/07/2024
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