Most Relevant Information
Provider Data
| NPI Number: | 1003481698 |
| Provider Name: | LAURA MARIA GOMEZ SANTANA |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 23014 |
Most Important Dates
| Enumeration Date: | 05/25/2021 |
| Last Updated: | 10/14/2022 |
Provider Practice Location
#550 CALLE SERGIO CUEVAS BUSTAMANTE
ESQ. AVE DOMENECH
SAN JUAN
PR
00918
Practice Location Phone/Fax
| Phone: | 7877588383 |
| Fax: |
Provider Mailing Location
CALLE ESTRELLA 1436
COND CONDADO GARDENS APT 403
SAN JUAN
PR
00907
Provider Mailing Phone/Fax
| Phone: | 7873849180 |
| Fax: |