Nicolas Gomez Amalbert, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16876 Issued in PR

Practice address

24 Paseo de la Costa
Ceiba, PR 00735-3627

Phone

(787) 556-8904

NPI assigned

Sep 18, 2007

Last updated

Sep 18, 2007By the provider in NPPES

Sex

Male

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  General Practice

  Medicare reassignment NPD
• Puerto Rico Primary Care Mso, Inc. - CDT Luquillo

  • Emergency Care Clinic/Center
  • Luquillo, PR
  • NPI 1134873235
  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD
• Puerto Rico Primary Care, Mso, Inc. - Laboratorio

  • Clinical Medical Laboratory
  • Luquillo, PR
  • NPI 1952055055
  NPD

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1174719694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PASEO DE LA COSTA",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007353627",
            "telephone_number": "787-556-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PASEO DE LA COSTA",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007353627",
            "telephone_number": "787-556-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ AMALBERT",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fajardo Pediatric Center
• Farmacia Aviles
• Flor Ivette Figueroa Rosa, LPC
• Jose Ramon Figueroa Sr., M.D
• Xioralys Gallardo, MSW
• Myrna Gomez, RPH
• Grupo Medico Costa Este Inc.
• Somayra Hernandez Diaz, PA
• Holistic Allies PR LLC
• I-Care Medical Transport

• General Practice Physician in Ceiba, PR
• Providers in Ceiba, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.