Active NPIIndividual providerSole proprietor

Xiomara M Gomez Heredia

General Practice in San Juan, Puerto Rico

NPI Number1679783336
Practice location
1409 Ave Ponce De Leon, San Juan, PR 00907-4023
Fax
787-725-4487
Last updated
July 8, 2007

Xiomara M Gomez Heredia is a General Practice based in San Juan, PR. Xiomara M Gomez Heredia practices in San Juan, PR. The NPI Number for Xiomara M Gomez Heredia is 1679783336 and holds a License No. 12088 (PR). The current practice location address for Xiomara M Gomez Heredia is 1409 Ave Ponce De Leon, San Juan, PR 00907-4023 and can be reached out via phone at 787-960-6818 and via fax at 787-725-4487.

Provider Profile Details

NPI Number
1679783336
Provider Name
Xiomara M Gomez Heredia
Provider Entity Type
Individual
Gender
Female
Address
1409 Ave Ponce De Leon, San Juan, PR 00907-4023
Phone Number
787-960-6818
Fax Number
787-725-4487
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1409 Ave Ponce De Leon
San Juan, PR 00907-4023
Zip
00907-4023
Phone Number
787-960-6818
Fax Number
787-725-4487
San Juan, PR 00907Get directions →

Provider Business Mailing Address Details

Address
1409 Ave Ponce De Leon
San Juan, PR 00907-4023
City
San Juan
State
PR
Zip
00907-4023
Phone Number
787-960-6818
Fax Number
787-725-4487

License Information

License Number
12088
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Xiomara M Gomez Heredia?

The NPI number of Xiomara M Gomez Heredia is 1679783336. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Xiomara M Gomez Heredia?

Xiomara M Gomez Heredia is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 12088.

Where does Xiomara M Gomez Heredia practice?

The practice location is 1409 Ave Ponce De Leon, San Juan, PR 00907-4023. The office can be reached at 787-960-6818 (phone) or 787-725-4487 (fax).

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 1679783336 directly on the NPPES registry website.

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