| Doctor Name: | CARMEN M GOMEZ |
| NPI Number: | 1386976934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 3549 |
| Business Practice Address: | 201 Jose De Diego Ave. Plaza Angora San Lorenzo, PR - 00754 |
| Business Phone Number: | 7877364555 |
| Business Fax Number: | |
| Mailing Address: | Urb. Villas San Cristobal Ii, #370 LAS PIEDRAS |
| State: | PR |
| Postal Code: | 007719237 |
| Phone Number: | 7873982868 |
| Fax Number: | 7877364555 |
| NPI Enumeration Date: | 02/08/2010 |
| NPI Last Update Date: | 02/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |