Grupo Fisiatrico Gomez Hernandez CSP

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

15786 Issued in PR

Legal business name

GRUPO FISIATRICO GOMEZ HERNANDEZ CSP

Practice address

Avenida Fragoso # 4Es-12
Villa Fontana
Carolina, PR 00983

Phone

(787) 276-7006

Fax

(787) 276-7030

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Cesar G Gomez, MD

Title

Physiatrist

Phone

(787) 276-7006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1154593424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 122 PO BOX 2500",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009772500",
            "telephone_number": "787-276-7006",
            "fax_number": "787-276-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA FRAGOSO # 4ES-12",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-276-7006",
            "fax_number": "787-276-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO FISIATRICO GOMEZ HERNANDEZ CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSIATRIST",
        "authorized_official_telephone_number": "787-276-7006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "15786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Physical Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.