Individual provider · Type 1 NPI

Luis Raul Gomez Ortiz, MD

Student in an Organized Health Care Education/Training Program · Yonkers, NY

NPI number 1063911170 Active

Practice location

127 S Broadway
Yonkers, NY 10701-4006

Mailing address

PO Box 1011
Lares, PR 00669-1011

Other practice locations

  • Barrio Monacillos, San Juan, PR 00935-0001 · (787) 757-1800
  • 1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199 · (787) 641-1616

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X17192-I (PR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 other providers at this address

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About NPI 1063911170

Luis Raul Gomez Ortiz, MD's National Provider Identifier is 1063911170, issued on Feb 4, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Yonkers, NY. The record was last updated on Apr 4, 2025.