DR. LUIS RAUL GOMEZ ORTIZ MD
NPI 1063911170
Student in an Organized Health Care Education/Training Program in Yonkers, NY

Q: What is Luis Gomez Ortiz's NPI number?

The NPI number for Luis Gomez Ortiz is 1063911170. It was assigned to this individual provider in the NPPES registry on February 4, 2018.

Q: What is Luis Gomez Ortiz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Luis Gomez Ortiz was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 04, 2018

127 S BROADWAY, YONKERS, NY 10701(787) 201-0039 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Luis Raul Gomez Ortiz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS RAUL GOMEZ ORTIZ MD (NPI 1063911170) is an individual student in an organized health care education/training program in Yonkers, New York, licensed in Puerto Rico (17192-I) and active in the NPI registry since February 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063911170

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. LUIS RAUL GOMEZ ORTIZCredential: MD

Location Address127 S BROADWAYYonkers, NY 10701-4006

Mailing AddressPo Box 1011Lares, PR 00669-1011 · (787) 201-0039

Phone(787) 201-0039

Sole ProprietorNo

Enumeration DateFebruary 4, 2018

Last NPPES UpdateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1063911170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in PR · 17192-I

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

127 S BROADWAY, Yonkers, NY 10701

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Secondary Practice Locations 2

Location 1Barrio MonacillosSan Juan, PR 00935-0001 · Phone (787) 757-1800 · Fax (787) 276-2205

Location 21462 Calle Prof Augusto RodriguezSan Juan, PR 00909-2199 · Phone (787) 641-1616

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY JOHNSTONE-BRADSHAW CRNA

Nurse Anesthetist, Certified Registered

127 S BROADWAY, SAINT JOSEPH'S MEDICAL CENTER
YONKERS, NY 10701

Westchester County (914) 378-7000

MANUEL COLUMBRES MD

Anesthesiology

127 S BROADWAY, SAINT JOSEPH'S MEDICAL CENTER
YONKERS, NY 10701

Westchester County (914) 378-7000

DR. DANIEL LANKIN M.D.

Radiology (Diagnostic Radiology)

127 S BROADWAY, ST. JOSEPH'S MEDICAL CENTER
YONKERS, NY 10701

Westchester County (914) 378-7690

ST. JOSEPH'S HOSPITAL & MEDICAL CENTER

Psychiatry & Neurology (Psychiatry)