Active NPI
Yesenia Gomez, CNM
- Advanced Practice Midwife
- Caguas, PR
National Provider Identifier
1215396189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 1399
- Practice address
- 75 Via Miradero
Sanjuanera
Caguas, PR 00727-3007 - Phone
- (787) 703-4881
- NPI assigned
- Feb 19, 2016
- Last updated
- Feb 19, 2016
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 1399 | PR | Primary |
Addresses
Primary practice location
75 Via Miradero
Sanjuanera
Caguas, PR 00727-3007
Mailing address
75 Via Miradero
Sanjuanera
Caguas, PR 00727-3007
Phone (787) 703-4881
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1399 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1215396189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 VIA MIRADERO",
"address_2": "SANJUANERA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007273007",
"telephone_number": "787-703-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 VIA MIRADERO",
"address_2": "SANJUANERA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007273007",
"telephone_number": "787-703-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "YESENIA",
"name_prefix": "Prof.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PR",
"license": "1399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.