Jesus Valentin Gomez, MD
Individual provider Active NPI Specialist · Rincon, PR
NPI 1346441086 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346441086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 4712 (PR)
- Practice address
- Munoz Rivera 41 Oeste
Rincon, PR 00677 - Phone
- (787) 823-7200
- Fax
- (787) 823-7200
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4712 | PR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanchez Montano Medical PSC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4712 | PR | Yes |
Addresses
Primary practice location
Munoz Rivera 41 Oeste
Rincon, PR 00677
Mailing address
Munoz Rivera 41 Oeste
Rincon, PR 00677
Phone (787) 823-7200
Other providers in Rincon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.