Kevin Gomez Diaz

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1091 Issued in PR

Practice address

1450 Ave Ashford
San Juan, PR 00907-1590

Phone

(787) 344-0708

NPI assigned

Jul 24, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, PR2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pop Health, LLC

  • Chiropractor
  • San Juan, PR
  • NPI 1194338574
  Medicare reassignment NPD
• Dynamic Care, Inc.

  • Chiropractor
  • Altamonte Springs, FL
  • NPI 1841461241
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1013745678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE RONDA APT 902",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262363",
            "telephone_number": "787-627-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 AVE ASHFORD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071590",
            "telephone_number": "787-344-0708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8169 Calle Concordia Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007171556",
            "country_code": "US",
            "telephone_number": "787-812-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ DIAZ",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "1091",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Valmir Gomes de Brito, M.D.
• Adriana Michelle Gomez Cardona
• Michelle J Gomez Cruz, M.D.
• Cristina Gomez de Nery, M.D.
• Edgar J. Gomez del Valle, MSW
• Naomie Vanessa Gomez Droz
• Cristobal Gomez Duarte, MD
• Francisco Gomez Goytia, M.D.
• Xiomara M Gomez Heredia
• Yariel Josue Gomez Hernandez

• Chiropractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.