Individual
PABLO A GOMEZ CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 467 KM 4.4, BARRIO CAMASEYES, AGUADILLA, PR 00603-1503
(787) 617-9110
(787) 890-0724
Mailing address
137 CALLE HARRISON, AGUADILLA, PR 00603-1503
(787) 617-9110
(787) 890-0724
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB-411
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660670738
IRS TAX ID #
PR
Enumeration date
05/11/2007
Last updated
10/15/2013
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