Skip Navigation

Provider Information for 1174719694

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. NICOLAS GOMEZ AMALBERT MD

Gender: MALE

Individual NPI: 1174719694

Calendar   Last Updated:  2007-09-18
  Certification Date: 

Details

Name Value
NPI 1174719694
Enumeration Date 2007-09-18
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 24 PASEO DE LA COSTA
CEIBA, PR 00735-3627
United States

Phone: 787-556-8904 | Fax:
View Map External Link
Primary Practice Address 24 PASEO DE LA COSTA
CEIBA, PR 00735-3627
United States

Phone: 787-556-8904 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208D00000X - General Practice PR 16876