Individual
ANA MARIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
CALLE F VEGAS JIMENEZ, MANATI MEDICAL CENTER, MANATI, PR 00674
(310) 926-8524
Mailing address
J22 CALLE J, VILLACAPARRA, GUAYNABO, PR 00966-2203
(310) 926-8524
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
020757
PR
2085R0202X
Diagnostic Radiology Physician
A110112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1101120
—
CA
Enumeration date
07/23/2008
Last updated
01/19/2017
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