- Practice location
- 127 S Broadway, Yonkers, NY 10701-4006
- Phone
- 787-201-0039
- Fax
- —
- Last updated
- April 4, 2025
Luis Raul Gomez Ortiz is a Student in an Organized Health Care Education/Training Program based in Yonkers, NY. Luis Raul Gomez Ortiz practices in Yonkers, NY and has the professional credentials of MD. The NPI Number for Luis Raul Gomez Ortiz is 1063911170 and holds a License No. 17192-I (PR). The current practice location address for Luis Raul Gomez Ortiz is 127 S Broadway, Yonkers, NY 10701-4006 and can be reached out via phone at 787-201-0039.
Provider Profile Details
- NPI Number
- 1063911170
- Provider Name
- Luis Raul Gomez Ortiz
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 127 S Broadway, Yonkers, NY 10701-4006
- Phone Number
- 787-201-0039
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 4, 2018
- Last Update Date
- April 4, 2025
- Certification Date
- April 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 127 S Broadway
Yonkers, NY 10701-4006 - City
- Yonkers
- State
- New York
- Zip
- 10701-4006
- Phone Number
- 787-201-0039
Provider Business Mailing Address Details
- Address
- Po Box 1011
Lares, PR 00669-1011 - City
- Lares
- State
- PR
- Zip
- 00669-1011
- Phone Number
- 787-201-0039
License Information
- License Number
- 17192-I
- License State
- PR
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Luis R Gomez Ortiz, MD?
The NPI number of Dr. Luis R Gomez Ortiz, MD is 1063911170. It was assigned on February 4, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Luis R Gomez Ortiz, MD?
Dr. Luis R Gomez Ortiz, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in PR under license number 17192-I.
Where does Dr. Luis R Gomez Ortiz, MD practice?
The practice location is 127 S Broadway, Yonkers, NY 10701-4006. The office can be reached at 787-201-0039 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063911170 directly on the NPPES registry website.