Eugenio Gomez Garcia – Audiologist in Fajardo, PR

Key facts

NPI: 1801814801
Entity type: Individual (NPI type 1)
Primary specialty: Audiologist 231H00000X
License: 94 (PR)
Practice address: Avenida Principal
Urb. Baralt I-28
Fajardo, PR 00738
Phone: (787) 766-4623
NPI assigned: Jul 17, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Precision Hearing Center Inc Audiologist · San Juan, PR · NPI 1972502276

Medicare reassignment Care Compare group PR

Medicare Care Compare profile

Specialty: Qualified Audiologist
Education: Other, 1984
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Precision Hearing Center Inc (37 clinicians)

Practice addresses (Care Compare)

Calle Garcia de la Naceda a
6 Villas de Rio Grande
Rio Grande, PR 00745
Phone (787) 809-4322

Sector Urb Rio Grande Hill
Carr Num 3
Rio Grande, PR 00745
Phone (787) 809-4233

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PR

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20110804000536	PR	Practitioner - Qualified Audiologist	7618146846	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Interoperability endpoints

Direct secure messaging: egomezgarcia@2144.securemail.prognocis.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Audiologist	231H00000X	94	PR	Yes

Addresses

Primary practice location

Avenida Principal
Urb. Baralt I-28
Fajardo, PR 00738

Mailing address

PO Box 193069
San Juan, PR 00919-3069

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2011.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1801814801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193069",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA PRINCIPAL",
            "address_2": "URB. BARALT I-28",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-766-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ GARCIA",
        "first_name": "EUGENIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

All providers in Fajardo, PR · Audiologist in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.