Individual provider Active NPI

Gerardina Maria Gomez Nunez, DMD

  • General Practice Dentistry
  • Carolina, PR
National Provider Identifier
1447219118
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2482 Issued in PR
Practice address
GK36 Ave Roberto Sanchez Vilella
Carolina, PR 00982-2657
Phone
(787) 276-4950
NPI assigned
Mar 21, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2482 PR Primary

Addresses

Primary practice location

GK36 Ave Roberto Sanchez Vilella
Carolina, PR 00982-2657

Mailing address

Calle 28 As9 Bairoa
Caguas, PR 00725
Phone (787) 360-3055

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602001118 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608143201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2482PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447219118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 28 AS9 BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-360-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GK36 AVE ROBERTO SANCHEZ VILELLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822657",
            "telephone_number": "787-276-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ NUNEZ",
        "first_name": "GERARDINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.