Miguel Angel Gomez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22505 Issued in PR

Practice address

606 Calle Susano Lasalle
Quebradillas, PR 00678-2464

Phone

(787) 673-2321

NPI assigned

Sep 1, 2021

Sex

Male

Sole proprietor

No

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

General Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Policlinica Familiar Shalom IncGroup PAC ID 8921373093, 5 clinicians

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 and National Provider Directory roles.

• Policlinica Familiar Shalom Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quebradillas, PR
  • NPI 1831302173

  General Practice

  Medicare reassignment Care Compare group NPD
• Centro Radiologico Shalom Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Quebradillas, PR
  • NPI 1548570211
  NPD
• Policlinica Familiar Shalom Inc

  • Public Health & General Preventive Medicine Physician
  • Mayaguez, PR
  • NPI 1619580321
  NPD

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1609544063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CALLE SUSANO LASALLE",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006782464",
            "telephone_number": "787-673-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CALLE SUSANO LASALLE",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006782464",
            "telephone_number": "787-673-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaida J Garcia Dejesus, SLP
• Lourdes Garcia Jimenez, RPT
• Carlos Alberto Garcia Rodriguez, DDS
• Arnaldo Gerena, M.D.
• Gloria M Mercado Jimenez
• Xiomara Gonzalez Chaparro, SLP
• Javier Gonzalez Ocana, M.D.
• Sofia I Gonzalez Velez, MT
• Frederick Saul Gonzalez-Roman
• Camilo Leopoldo Gonzalez

• General Practice Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.