Provider Demographics
NPI:1457469207
Name:GOMEZ, MARIA ARMINDA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ARMINDA
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COSTA RICA ST # 185
Mailing Address - Street 2:COND. TEIDE APT. 902
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2535
Mailing Address - Country:US
Mailing Address - Phone:787-593-6861
Mailing Address - Fax:
Practice Address - Street 1:PUERTO RICO MEDICAL CENTER BO. MONACILLO
Practice Address - Street 2:HOSPITAL SAN JUAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-765-0521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR53412080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology