Active NPI
Nidia Gomez
- Pharmacist
- Gurabo, PR
National Provider Identifier
1144695172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4153
- Practice address
- 56 Azalea
Est Santa Barbara
Gurabo, PR 00778 - Phone
- (787) 469-3267
- Fax
- (787) 746-1086
- NPI assigned
- Dec 2, 2015
- Last updated
- Dec 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4153 | PR | Primary |
Addresses
Primary practice location
56 Azalea
Est Santa Barbara
Gurabo, PR 00778
Mailing address
56 Azalea
Est Santa Barbara
Gurabo, PR 00778
Phone (787) 469-3267
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66364 | Other | PR | PHAMACISTS REGISTRATION |
| 4153 | Other | PR | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4153 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1144695172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 AZALEA",
"address_2": "EST SANTA BARBARA",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-469-3267",
"fax_number": "787-746-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 AZALEA",
"address_2": "EST SANTA BARBARA",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-469-3267",
"fax_number": "787-746-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "NIDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHAMACISTS REGISTRATION",
"identifier": "66364",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "4153",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.