Jose Rafael Gomez Alba, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

6431 Issued in PR

Practice address

236 Ave San Marcos
Ext El Comandante
Carolina, PR 00982

Phone

(787) 768-8544

Fax

(787) 200-6100

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1326099243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 - 12 CALLE PRAVIA",
            "address_2": "VILLA ASTURIAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-769-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 AVE SAN MARCOS",
            "address_2": "EXT EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-768-8544",
            "fax_number": "787-200-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ ALBA",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "6431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delfin Gines Cordova Sr., MD
• Jessie Giron Morel, MD
• Globus Medical North America
• Gnathos Surgical Group, LLC
• Emily Ann Goldman-Huertas, M.D.
• Shelley Karul Gomez Jimenez
• Gerardina Maria Gomez Nunez, DMD
• Lope Manuel Gomez-Hormazagal
• Brenda I Gomez
• Flora Elisa Gonzalez Colon

• Psychiatry Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.