| Doctor Name: | MISS YADIRA GOMEZ |
| NPI Number: | 1447503032 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | 3107 |
| Business Practice Address: | Carr 402 Km 1.8 Anasco, PR - 00610 |
| Business Phone Number: | 7875604809 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2187, ANASCO |
| State: | PR |
| Postal Code: | 006102187 |
| Phone Number: | 7875604809 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2012 |
| NPI Last Update Date: | 02/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |