Carlos Alberto Gomez-Marcial, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

6196 Issued in PR

Practice address

1462 Profesor Augusto Rodriguez
Santurce, PR 00910-2137

Phone

(787) 641-1616

NPI assigned

Oct 9, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Administracion de Servicios Medicos de Puerto Rico

  • Critical Access Hospital
  • San Juan, PR
  • NPI 1760455109
  Medicare reassignment NPD

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1386731362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND BOULEVARD PASEO",
            "address_2": "SUITE 112-190",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "telephone_number": "787-397-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 PROFESOR AUGUSTO RODRIGUEZ",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009102137",
            "telephone_number": "787-641-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-MARCIAL",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PR",
            "license": "6196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "6196",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Garcia, M.D.
• Genetic Diagnostic Group
• GHP C.S.P.
• Golden Cross Health Plan Corp.
• Jose Manuel Gomez Vazquez, MD
• Lori Renee Gomez
• Mariana C Gomez, M.S
• Efrain Gonzalez Arroyo, M.D.
• Jose Ramon Gonzalez Chavez, M.D.
• Ada M. Gonzalez Flores

• Emergency Medical Services (Emergency Medicine) Physician in Santurce, PR
• Providers in Santurce, PR by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.