Luis Raul Gomez Ortiz, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

17192-I Issued in PR

Practice address

127 S Broadway
Yonkers, NY 10701-4006

Phone

(787) 201-0039

NPI assigned

Feb 4, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1063911170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006691011",
            "telephone_number": "787-201-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "787-201-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Barrio Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-757-1800",
            "fax_number": "787-276-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1462 Calle Prof Augusto Rodriguez",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009092199",
            "country_code": "US",
            "telephone_number": "787-641-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ ORTIZ",
        "first_name": "LUIS",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "17192-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Gail Goldsborough, MSW
• Neal Goldsmith, DC
• Richard Henry Goldsmith, D.D.S.
• Sara Goldsmith, LCSW
• Rhea Ann Gomes
• Joseph Santiago Gonzales, RN
• Luis Guting Gonzales Jr., PT
• Alexandra Gonzalez
• Isabel Y Gonzalez, MS. ED
• Juana Gonzalez, OTA

• Student in an Organized Health Care Education/Training Program in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.