Individual
DR. MARIO SAN MARTIN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668
(239) 424-3123
(239) 424-4041
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-3123
(239) 424-4041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097702
MI
207R00000X
Internal Medicine Physician
70462
WI
208M00000X
Hospitalist Physician
4301097702
MI
208M00000X
Hospitalist Physician
70462
WI
208M00000X
Hospitalist Physician
Primary
ME157634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100141906
—
WI
Enumeration date
01/28/2010
Last updated
11/17/2022
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