Lope Manuel Gomez-Hormazagal

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11577 Issued in PR

Practice address

Ave Roberto Sanchez Vilella, A6 Castellana Gardens
Carolina, PR 00984-0098

Phone

(787) 752-7897

Fax

(787) 768-0689

NPI assigned

Jan 23, 2007

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

Specialty

General Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Policlinica Dr. Luis Rodriguez Carrasquillo, PSCGroup PAC ID 9234315292, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Policlinica Dr. Luis Rodriguez Carrasquillo, PSC

  • Health Service Clinic/Center
  • Carolina, PR
  • NPI 1346570207
  Medicare reassignment Care Compare group NPD
• Carolina Wound & Skin Care LLC

  • Health Service Clinic/Center
  • Carolina, PR
  • NPI 1447081492

  General Practice

  NPD
• Emergency Department Medical Services, CSP

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Juan, PR
  • NPI 1558589788
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1184778466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3762",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843762",
            "telephone_number": "787-752-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ROBERTO SANCHEZ VILELLA, A6 CASTELLANA GARDENS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009840098",
            "telephone_number": "787-752-7897",
            "fax_number": "787-768-0689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Calle Washington",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009071510",
            "country_code": "US",
            "telephone_number": "787-474-7346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ-HORMAZAGAL",
        "first_name": "LOPE",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-05-03",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gnathos Surgical Group, LLC
• Emily Ann Goldman-Huertas, M.D.
• Jose Rafael Gomez Alba, MD
• Shelley Karul Gomez Jimenez
• Gerardina Maria Gomez Nunez, DMD
• Brenda I Gomez
• Flora Elisa Gonzalez Colon
• Ariel Francisco Gonzalez Cordero, MD
• Bryan Jose Gonzalez Ferrer, PA
• Nora Gonzalez Figueroa, LPC

• General Practice Physician in Carolina, PR
• Providers in Carolina, 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 May 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.