Macaela Julie Gomez, MOTR/L
Individual provider Active NPI Occupational Therapist · Tierra Amarilla, NM
NPI 1255853149 · NPPES record last updated Jul 12, 2017
Key facts
- NPI
- 1255853149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3674 (NM)
- Practice address
- PO Box 10
Tierra Amarilla, NM 87575-0010 - Phone
- (575) 588-7297
- Fax
- (575) 588-0359
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3674 | NM | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3674 | NM | Yes |
Addresses
Primary practice location
PO Box 10
Tierra Amarilla, NM 87575-0010
Mailing address
PO Box 812
Chama, NM 87520-0812
Phone (970) 749-7001
Other providers in Tierra Amarilla, NM
- Lily Bateman-Lopez
- Michele Marie Busch
- Jodi Casados
- James Quincey Derrick
- Jean Marie Janu
- Lydia Rose Jarka
- La Clinica del Pueblo de Rio Arriab
- La Clinica del Pueblo de Rio Arriba
- La Clinica del Pueblo de Rio Arriba
All providers in Tierra Amarilla, NM · Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.