MIGUEL ANGEL GOMEZ MD
NPI 1609544063
General Practice in Quebradillas, PR
About Miguel Angel Gomez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIGUEL ANGEL GOMEZ MD (NPI 1609544063) is an individual general practice provider in Quebradillas, Puerto Rico, licensed in Puerto Rico (22505) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miguel Angel Gomez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Miguel Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mayaguez, PR 00680
- Reassigned Medicare billing, Puerto Rico enrollment
- 23 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.
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 Miguel Gomez's NPI number?
The NPI number for Miguel Gomez is 1609544063. It was assigned to this individual provider in the NPPES registry on September 1, 2021.
Where is Miguel Gomez located?
Miguel Gomez practices at 606 Calle Susano Lasalle, Quebradillas, PR 00678. The listed phone number is (787) 673-2321.
What is Miguel Gomez's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Miguel Gomez enrolled in Medicare?
Yes. Miguel Gomez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Miguel Gomez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Gomez reassigns Medicare benefits to Policlinica Familiar Shalom Inc (Mayaguez, 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 Miguel Gomez'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 Miguel Gomez was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Miguel Angel Gomez, MD · NPI 1609544063
General Practice physician in Quebradillas, Puerto Rico. Individual provider, active in the CMS NPPES registry since September 1, 2021.
## Identity
- **NPI:** 1609544063 (Entity type: Individual)
- **Enumerated:** September 1, 2021
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 22505 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** 606 CALLE SUSANO LASALLE, Quebradillas, PR 00678-2464
- **Phone:** (787) 673-2321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Policlinica Familiar Shalom Inc (NPI 1619580321, Mayaguez, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609544063) · Data from the CMS NPPES public registry.