Individual
NIDZA T GOMEZ COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1396 MEDICAL PAVILION, STE 11, SANTUREE, PR 00909
(787) 724-6590
(787) 724-7280
Mailing address
1396 MEDICAL PAVILION, STE 11, SANTUREE, PR 00909
(787) 724-6590
(787) 724-7280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6232
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098407
PITAN
PR
Enumeration date
11/03/2005
Last updated
08/27/2010
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