MR. CARLOS ALBERTO GOMEZ-MARCIAL M.D.
NPI 1386731362
Emergency Medicine - Emergency Medical Services in Santurce, PR

Active since October 09, 2006PECOS Enrolled
1462 PROFESOR AUGUSTO RODRIGUEZ, SANTURCE, PR 00910(787) 641-1616 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Carlos Alberto Gomez-marcial M.d. NPPES

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

MR. CARLOS ALBERTO GOMEZ-MARCIAL M.D. (NPI 1386731362) is an individual emergency medical services provider in Santurce, Puerto Rico, licensed in Puerto Rico (6196) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386731362
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameMR. CARLOS ALBERTO GOMEZ-MARCIALCredential: M.D.
Location Address1462 PROFESOR AUGUSTO RODRIGUEZSanturce, PR 00910-2137
Mailing Address100 Grand Boulevard Paseo, Suite 112-190San Juan, PR 00926-5955 · (787) 397-0263
Sole ProprietorYes
Enumeration DateOctober 9, 2006
Last NPPES UpdateApril 29, 2015
✔ NPI 1386731362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in PR · 6196
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Other Identifiers 4

Other6196PR · Licence
Medicare UPIN77530PR
Medicare UPINC77530PR
Medicare ID-Type Unspecified27419PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlos Alberto Gomez-marcial M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Gomez-marcial reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
BO MONACILLOS, CARR NO 22 RIO PIEDRAS
San Juan, PR 00922
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Gomez-marcial's NPI number?

The NPI number for Carlos Gomez-marcial is 1386731362. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Carlos Gomez-marcial located?

Carlos Gomez-marcial practices at 1462 Profesor Augusto Rodriguez, Santurce, PR 00910. The listed phone number is (787) 641-1616.

What is Carlos Gomez-marcial's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Carlos Gomez-marcial enrolled in Medicare?

Yes. Carlos Gomez-marcial is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Gomez-marcial's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Gomez-marcial reassigns Medicare benefits to Administracion De Servicios Medicos De Puerto Rico (San Juan, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Gomez-marcial's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Gomez-marcial was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.