Healthcare Provider Details

I. General information

NPI: 1700700085
Provider Name (Legal Business Name): KARINA NAOMI GOMEZ RUIZ MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA AEELA, 463 AV. JUAN PONCE DE LEON SUITE 306
SAN JUAN PR
00917
US

IV. Provider business mailing address

URB. LOS ROSALES CALLE 1 E14
HUMACAO PR
00791
US

V. Phone/Fax

Practice location:
  • Phone: 939-205-2345
  • Fax:
Mailing address:
  • Phone: 787-349-8330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number9049
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: