Individual
DR. GLENDALY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
#105 HOSPITAL MENONITA, CIDRA, PR 00739
(787) 739-6688
Mailing address
HC 44 BOX 13436, CAYEY, PR 00736
(787) 244-5105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
588-PA
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SSN
NO INTERESTED
PR
Enumeration date
04/02/2021
Last updated
04/02/2021
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