Individual provider Active NPI

Meliza Patillas Gomez Guilfu

  • Social Worker
  • Patillas, PR
National Provider Identifier
1629560487
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7122 Issued in PR
Practice address
99 Calle Guillermo Riefkohl
Patillas, PR 00723-0000
Phone
(787) 402-3600
Fax
(787) 271-0004
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
7122PRMDPsychologist

Interoperability endpoints

  • Direct secure messaging: meliza.gomez@cspsp.directbygreenway.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7122 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

99 Calle Guillermo Riefkohl
Patillas, PR 00723-0000

Mailing address

99 Calle Guillermo Riefkohl
Patillas, PR 00723
Phone (787) 402-3600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2018.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1629560487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKOHL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-402-3600",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKOHL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230000",
            "telephone_number": "787-402-3600",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ GUILFU",
        "first_name": "MELIZA",
        "middle_name": "PATILLAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.