Individual
MIGUEL ANGEL GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
606 CALLE SUSANO LASALLE, QUEBRADILLAS, PR 00678-2464
(787) 673-2321
Mailing address
606 CALLE SUSANO LASALLE, QUEBRADILLAS, PR 00678-2464
(787) 673-2321
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22505
PR
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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