Hector Manuel Gomez Martinez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5673 Issued in PR

Practice address

4685 Ave Constancia
Villa del Carmen
Ponce, PR 00716-2262

Phone

(787) 984-9053

NPI assigned

Sep 8, 2016

Last updated

Mar 22, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

• Well&Lean LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Juan, PR
  • NPI 1194272575
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1265989198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 AVE CONSTANCIA",
            "address_2": "VILLA DEL CARMEN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162262",
            "telephone_number": "787-984-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 AVE CONSTANCIA",
            "address_2": "VILLA DEL CARMEN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162262",
            "telephone_number": "787-984-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ MARTINEZ",
        "first_name": "HECTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5673",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "5673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goenaga Y Vazquez LLC
• Golden Valley Corp
• Goldenminds LLC
• Nathalia Michelle Gomez Cardona
• Annette Gomez Dominicci, MD
• Ricardo Gomez-Martinez, M.D.
• Ricardo Manuel Gomez-Quintana
• Erika Gomez, M.D.
• Francisco Javier Gomez
• Jose Gomez, MD

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.