Active NPI
Maria A Gomez, PHD
- Psychoanalysis Psychologist
- San Juan, PR
National Provider Identifier
1336777069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 1392
- Practice address
- 1809 Santa Marta Street
Urb. El Pilar
San Juan, PR 00926 - Phone
- (787) 568-2224
- Fax
- (787) 756-0144
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 1392 | PR | Primary |
Addresses
Primary practice location
1809 Santa Marta Street
Urb. El Pilar
San Juan, PR 00926
Mailing address
1809 Santa Marta Street
Urb. El Pilar
San Juan, PR 00926
Phone (787) 568-2224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1392 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1336777069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 SANTA MARTA STREET",
"address_2": "URB. EL PILAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-568-2224",
"fax_number": "787-756-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 SANTA MARTA STREET",
"address_2": "URB. EL PILAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-568-2224",
"fax_number": "787-756-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "MARIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "PR",
"license": "1392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.