Jose R Gomez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2408 Issued in PR

Practice address

Carretera 173 KM 8.9
Barrio Rios
Guaynabo, PR 00971

Phone

(787) 731-2790

Fax

(787) 272-2185

NPI assigned

Dec 8, 2005

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

Other names 1

• Dr. Jose R Gomez Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1316922701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 29030",
            "address_2": "DPT 523",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258900",
            "telephone_number": "787-731-2790",
            "fax_number": "787-272-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 173 KM 8.9",
            "address_2": "BARRIO RIOS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-731-2790",
            "fax_number": "787-272-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "GOMEZ",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hector L Gomez Montanez, 1895P
• Camilo Andres Gomez Pla
• Ruben Gomez Rosario, 0009B
• Frankie Gomez Santos, 1663P
• Jossan Rene Gomez-Consuegra, PA
• Keishalee Gomez, PHD
• Ilcha L. Gomila Romero, PH.D
• Maria M Gonzalez Aguayo, MD
• Jose A Gonzalez Baez, 1158P
• Romualdo Gonzalez Cedeno, 0830P

• General Practice Dentistry in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.