Doctor Name: | MR. CARLOS E GOMEZ |
NPI Number: | 1790003804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | TEM |
License Number: | |
Business Practice Address: | 2328 Ave Albizu Campos Rincon, PR - 006772435 |
Business Phone Number: | 7872284594 |
Business Fax Number: | |
Mailing Address: | Urb Reparto Daguey Calle 3 H6, Po Box 742 ANASCO |
State: | PR |
Postal Code: | 00610 |
Phone Number: | 7872284594 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 05/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |