Individual
LORI RENEE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 AVENIDA PONCE DE LEON, PDA. 26, SUITE 408, SANTURCE, PR 00909
(787) 726-0440
Mailing address
P. O. BOX 19833, FERNANDEZ JUNCOS STATION, SAN JUAN, PR 00910
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
045
PR
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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