JUAN SANTOS GOMEZ HERNANDEZ (NPI# 1063521912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063521912 |
| Entity Type | Individual |
| Full Name | JUAN SANTOS GOMEZ HERNANDEZ |
| Credential | MD |
| Practice Address |
Urb Jardines De Yabucoa B8 Calle 3 Yabucoa PR 00767 |
| Mailing Address |
Urb Paseos De Jacaranda 15049 Calle Ucar Santa Isabel PR 00757 |
| Practice Telephone | 7876908280 |
| Practice Fax Number | 7876569392 |
| Mailing Telephone | 7874154622 |
| Mailing Fax Number | 7876569392 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 15478 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | CRUZ AZUL | 101124 | 01 |
| PR | MAPFRE | 581910517 | 01 |
| PR | HUMANA HEALTH PLAN | 7710000 | 01 |
| PR | TRIPLE-S | 22891-GO | 01 |
| PR | MMM | 400309 | 01 |
| Street Address |
URB JARDINES DE YABUCOA B8 CALLE 3 |
| City | YABUCOA |
| State | PR |
| Zip Code | 00767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033217120 | Carmen E Feliciano | Pharmacist | Urb Jardines De Yabucoa, Calle 1 A8, Yabucoa, PR 00767 | 2006-09-20 |
| 1538267620 | Ana Del C Diaz | Pharmacy Technician | Urb Jardines De Yabucoa, Calle 1 A8, Yabucoa, PR 00767 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394286 | Gretchen Lorraine Nieves-burgos | Student in an Organized Health Care Education/Training Program | Bo Juan Martin Carr 901 Km1, Yabucoa, PR 00767 | 2020-07-30 |
| 1598385254 | Cossma, Inc. | Clinic/Center | Bo Juan Martin Carr 901 Km 1.6, Yabucoa, PR 00767 | 2020-04-23 |
| 1790311181 | Victor Rodriguez | General Practice | Pr-3 Km 98.2, Bo Juan Martin, Yabucoa, PR 00767 | 2020-03-17 |
| 1285267609 | W V P Medical Services Psc | Pediatrics | Bo. Juan Martin Km 97.3, Calle 3, Yabucoa, PR 00767 | 2020-02-13 |
| 1396389862 | Acosta Medical Group LLC | General Practice | Suite 1 Calle Marginal, Urb Mendez #6, Yabucoa, PR 00767 | 2019-10-29 |
| 1376104349 | Hanoc Baez Ortiz | Speech-Language Pathologist | Calle El Sol Car 3 Int 908, Bo Aguacate, Yabucoa, PR 00767 | 2019-06-21 |
| 1265096044 | Hospital Menonita Caguas Inc | Clinic/Center | Carr 901 Km 5 Salida Hacia Camino Nuevo, Yabucoa, PR 00767 | 2019-04-26 |
| 1659832095 | Jaime Marchena | Counselor | Carr 901 Km 1.6, Bo Juan Martin, Yabucoa, PR 00767 | 2019-03-28 |
| 1821568221 | Farmacia Los Angeles,inc | Pharmacy | Calle Cristobal Colon # 18, Yabucoa, PR 00767 | 2018-11-28 |
| 1437627585 | Sherly Marie Rivera | Registered Nurse | Juan Martin Sector Los Casanovas, Yabucoa, PR 00767 | 2018-11-07 |
| Find all providers in zip 00767 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454566 | Julio Elvin Estrada Serrano | General Practice | 10 Calle Cristobal Colon, Yabucoa, PR 00767-3332 | 2020-07-14 |
| 1790311181 | Victor Rodriguez | General Practice | Pr-3 Km 98.2, Bo Juan Martin, Yabucoa, PR 00767 | 2020-03-17 |
| 1396389862 | Acosta Medical Group LLC | General Practice | Suite 1 Calle Marginal, Urb Mendez #6, Yabucoa, PR 00767 | 2019-10-29 |
| 1255799193 | Javier Sanchez-ortiz | General Practice | Hc 2 Box 8729, Yabucoa, PR 00767-9305 | 2016-02-06 |
| 1306251491 | Germariliz Diaz Martinez | General Practice | Urb. Mendez #2, Istituto Pediatrico Oficina 5, Yabucoa, PR 00767 | 2014-06-26 |
| 1407081854 | Brendaliz Santaella Cruz | General Practice | Local #3 Calle Marginal, Urbanizacion Mendez, Yabucoa, PR 00767-0000 | 2009-05-28 |
| 1538376769 | Jose Morales Claudio | General Practice | Bo Playitas Parcelas Viejas, Yabucoa, PR 00767 | 2007-05-17 |
| 1568589273 | Ruben Sepulveda Rivas | General Practice | 8 Calle Saturnino Rodriguez, Yabucoa, PR 00767-3517 | 2007-03-26 |
| 1912045378 | Raul Arturo Acosta | General Practice | Urb. Mendez Marginal #6 Suite 1, Yabucoa, PR 00767 | 2007-02-01 |
| 1972658516 | Awilda Solis Diaz | General Practice | Cristobal Colon St, Suite 10, Yabucoa, PR 00767 | 2007-01-24 |
| Find all providers in YABUCOA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.