Juan R Gomez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6337 Issued in PR

Practice address

Urb Villa Hilda
Calle 1 A5
Yabucoa, PR 00767

Phone

(787) 893-5030

Fax

(787) 893-3922

NPI assigned

Oct 26, 2005

Last updated

Jun 21, 2012By the provider in NPPES

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

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

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Outlet LLC

  • Health Service Clinic/Center
  • Humacao, PR
  • NPI 1750822573
  NPD

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1578553079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711198",
            "telephone_number": "787-893-5030",
            "fax_number": "787-893-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA HILDA",
            "address_2": "CALLE 1 A5",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-893-5030",
            "fax_number": "787-893-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JUAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Fuentes-Arroyo, DMD
• Zinnia A Garcia Pena, MD
• Adalis Garcia
• Migdalia Aned Garcias, TECHNICIAN
• Juan Santos Gomez Hernandez, MD
• Mayra Cristina Gomez, DMD
• Maria Elizabeth Herrera Diaz, LMT
• Horizon Medical Solutions
• Hospital Menonita de Humacao Inc (Centro de Salud Familiar Yabucoa)
• Idental Center, Professional Dentistry, CSP

• Internal Medicine Physician in Yabucoa, PR
• Providers in Yabucoa, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.