Gomez, Kiara Ivelisse

Gomez, Kiara Ivelisse is an sole proprietor health care provider with primary practice located at 211 Plaza Caribe , Caguas PR 00727-3047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gomez, Kiara Ivelisse can be contacted via phone (787) 586-5744.

Contact Information

Primary practice address
211 Plaza Caribe Caguas PR 00727-3047
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1562 Puerto Rico

Profile Details

NPI number 1780382994
LBN Legal business name Gomez, Kiara Ivelisse
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2023
Last updated Feb 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780382994 NPPES
Puerto Rico MEDICAID 6025483

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