Individual provider Active NPI

Mariana C Gomez, M.S

  • Speech-Language Pathologist
  • Santurce, PR
National Provider Identifier
1275970436
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108234 Issued in TX
Practice address
Santurce Medical Mall Ofic 215 Edif 1801
Santurce, PR 00936-4367
Phone
(787) 772-5511
Fax
(787) 754-6359
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 108234 TX Primary

Addresses

Primary practice location

Santurce Medical Mall Ofic 215 Edif 1801
Santurce, PR 00936-4367

Mailing address

PO Box 193069
San Juan, PR 00919-3069
Phone (787) 761-0036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140305001439 PR Practitioner - Qualified Speech Language Pathologist 6103056437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Hearing Center IncGroup PAC ID 2769650274, 37 clinicians

Practice addresses (Care Compare)

Calle Garcia de la Naceda a
6 Villas de Rio Grande
Rio Grande, PR 00745
Phone (787) 809-4322

Sector Urb Rio Grande Hill
Carr Num 3
Rio Grande, PR 00745
Phone (787) 809-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
108234TXMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: mgomezsanchez@2144.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1275970436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193069",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193069",
            "telephone_number": "787-761-0036",
            "fax_number": "787-292-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTURCE MEDICAL MALL OFIC 215 EDIF 1801",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009364367",
            "telephone_number": "787-772-5511",
            "fax_number": "787-754-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MARIANA",
        "middle_name": "C",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.