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Provider Information for 1235443524

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

ALICIA GOMEZ L.P.N.

Gender: FEMALE

Individual NPI: 1235443524

Calendar   Last Updated:  2010-07-29
  Certification Date: 

Details

Name Value
NPI 1235443524
Enumeration Date 2010-07-29
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address PO BOX 607087
BAYAMON, PR 00960-7087
United States

Phone: 787-763-7575 | Fax: 787-263-4224
View Map External Link
Primary Practice Address 392 AVE JOSE DE DIEGO W
CAYEY, PR 00736-3747
United States

Phone: 787-763-7575 | Fax: 787-263-4224
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 163WP0809X - Registered Nurse Psych/Mental Health, Adult PR 016438