Ilcha L. Gomila Romero, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5459 Issued in PR

Practice address

20 Calle Pineiro Urb. Pineiro
Guaynabo, PR 00969

Phone

(787) 637-6509

NPI assigned

Feb 26, 2014

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1124443270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D8 PLAZA 12 URB. CAMBRIDGE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261450",
            "telephone_number": "787-637-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CALLE PINEIRO URB. PINEIRO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-637-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMILA ROMERO",
        "first_name": "ILCHA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Gomez Rosario, 0009B
• Frankie Gomez Santos, 1663P
• Jossan Rene Gomez-Consuegra, PA
• Jose R Gomez, DMD
• Keishalee Gomez, PHD
• Maria M Gonzalez Aguayo, MD
• Jose A Gonzalez Baez, 1158P
• Romualdo Gonzalez Cedeno, 0830P
• Josette Gonzalez Cintron
• Walter Gonzalez Escobales, 0862B

• Clinical Psychologist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.