Ithakatzin Gomez Zayas, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14653 Issued in PR

Practice address

Parcelas Jauca, Calle 4E
#460
Santa Isabel, PR 00757

Phone

(787) 453-3073

NPI assigned

Feb 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Primary Medical Center Inc

  • Specialist
  • Ponce, PR
  • NPI 1417927898

  Single Specialty

  Medicare reassignment NPD
• Primary Medical Center, Inc

  • Radiology Clinic/Center
  • Ponce, PR
  • NPI 1598390114
  NPD
• Primary Medical Group,C.S.P.

  • Urgent Care Clinic/Center
  • Ponce, PR
  • NPI 1003372319
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1063168797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARCELAS JAUCA, CALLE 4E",
            "address_2": "#460",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-453-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARCELAS JAUCA, CALLE 4E",
            "address_2": "#460",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-453-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ ZAYAS",
        "first_name": "ITHAKATZIN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Carlo Garcia-Carmona, LCSW
• Eileen Franco Garcia
• Gemstone LLC
• Carlos A Goglas
• Golf Medical Services CSP
• Girisela Gonzalez Davila, T.S.
• Tania Gonzalez Lucca, SLP
• Anthony Gonzalez Santana, MSW
• Dalia J Gonzalez, TS
• Paulina Rubi Gonzalez

• Clinical Social Worker in Santa Isabel, PR
• Providers in Santa Isabel, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.