Yolandra Gomez, MD
Individual provider Active NPI Pediatrics Physician · Dulce, NM
NPI 1912046939 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1912046939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD2007-0483 (NM)
- Practice address
- 25 Hawks Dr
Dulce, NM 87528-5024 - Phone
- (575) 759-3242
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716000361 | TX | Practitioner - Pediatric Medicine | 3678886918 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-0442 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Jemez | Current |
Accepting new patients | |
| Pueblo of Jemez | Current |
Accepting new patients | |
| After Hours Pediatrics PC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2004-0442 | NM | |
| Pediatrics Physician | 208000000X | MD2007-0483 | NM | Yes |
Addresses
Primary practice location
25 Hawks Dr
Dulce, NM 87528-5024
Mailing address
25 Hawks Dr
Dulce, NM 87528-5024
Phone (575) 759-3242
Other providers in Dulce, NM
- Allen Michael Frey
- Ursula Michael Gabriel
- Reyna R Garcia
- Margaret Jean Gillean
- Michael W Goldberg
- Sharon Hope Greacen
- Steven Paul Gross
- Daniel Xethan Haire
- Patrick S Hogan
- Diane P Holzem
All providers in Dulce, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.