Active NPI
Lilliam I Gomez, MS
- Audiologist
- Guyama, PR
National Provider Identifier
1780744938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 446
- Practice address
- Ave Pedro Albizu Campus
Hospital Episcopal Cristo Redento Instituto de Audio
Guyama, PR 00784 - Phone
- (787) 864-0432
- Fax
- (787) 864-0432
- NPI assigned
- Dec 11, 2006
- Last updated
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 446 | PR | Primary |
Addresses
Primary practice location
Ave Pedro Albizu Campus
Hospital Episcopal Cristo Redento Instituto de Audio
Guyama, PR 00784
Mailing address
PO Box 817
Arroyo, PR 00714-0817
Phone (787) 839-5839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121030000056 | PR | Practitioner - Qualified Audiologist | 8224288139 | Practice locations: Guayama, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 446 | PR | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1780744938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 817",
"city": "ARROYO",
"state": "PR",
"postal_code": "007140817",
"telephone_number": "787-839-5839",
"fax_number": "787-839-5839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE PEDRO ALBIZU CAMPUS",
"address_2": "HOSPITAL EPISCOPAL CRISTO REDENTO INSTITUTO DE AUDIO",
"city": "GUYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-864-0432",
"fax_number": "787-864-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "LILLIAM",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guyama, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.