Active NPI
Veronica Gomez, LICENSED
- Psychologist
- Las Piedras, PR
National Provider Identifier
1770917213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5210
- Practice address
- HC 4 Box 4050
Las Piedras, PR 00771-9604 - Phone
- (787) 435-7968
- NPI assigned
- Sep 1, 2013
- 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 | 5210 | PR | Primary |
Addresses
Primary practice location
HC 4 Box 4050
Las Piedras, PR 00771-9604
Mailing address
HC 4 Box 4050
Las Piedras, PR 00771-9604
Phone (787) 435-7968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260309000570 | PR | Practitioner - Psychologist Billing Independently | 0345723342 | Practice locations: Humacao, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
BC12 Calle
Suite 13
Humacao, PR 00791-4328
Phone (787) 435-7968
HC 4 Box
Suite 4050
Las Piedras, PR 00771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5210 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377993600000",
"number": "1770917213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 4050",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719604",
"telephone_number": "787-435-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 4 BOX 4050",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719604",
"telephone_number": "787-435-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "VERONICA",
"name_prefix": "Miss",
"credential": "LICENSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-01",
"last_updated": "2013-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.