Active NPI
Nicole M Gomez Sr., LICENCIADA
- Psychologist
- San Juan, PR
National Provider Identifier
1396698940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 008729
- Practice address
- 907 Calle Alcazar
San Juan, PR 00923-2723 - Phone
- (787) 206-3277
- NPI assigned
- Feb 16, 2026
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 008729 | PR | Primary |
Addresses
Primary practice location
907 Calle Alcazar
San Juan, PR 00923-2723
Mailing address
907 Calle Alcazar
San Juan, PR 00923-2723
Phone (787) 206-3277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008729 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1396698940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 CALLE ALCAZAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009232723",
"telephone_number": "787-206-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 CALLE ALCAZAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009232723",
"telephone_number": "787-206-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "NICOLE",
"middle_name": "M",
"name_prefix": "Mrs.",
"name_suffix": "Sr.",
"credential": "LICENCIADA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PR",
"license": "008729",
"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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.