MIGUEL ANGEL GOMEZ MD
NPI 1609544063
General Practice in Quebradillas, PR

Active since September 01, 2021PECOS Enrolled
606 CALLE SUSANO LASALLE, QUEBRADILLAS, PR 00678(787) 673-2321 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1609544063
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMIGUEL ANGEL GOMEZCredential: MD
Location Address606 CALLE SUSANO LASALLEQuebradillas, PR 00678-2464
Mailing Address606 Calle Susano LasalleQuebradillas, PR 00678-2464 · (787) 673-2321
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 1, 2021
NPPES CertifiedAugust 11, 2021
NPI 1609544063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 22505
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miguel Angel Gomez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769991579
PECOS Enrollment IDI20250603002831
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609544063, enumerated as an "individual" on September 01, 2021.

The provider is located at 606 CALLE SUSANO LASALLE QUEBRADILLAS, PR 00678 and the phone number is (787) 673-2321.

General Practice with taxonomy code 208D00000X.