Healthcare Provider Details

I. General information

NPI: 1902605686
Provider Name (Legal Business Name): HEALTH ONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE DEL PARQUE EDF. BALMORAL PISO 1
SAN JUAN PR
00911
US

IV. Provider business mailing address

PO BOX 275
BAYAMON PR
00960-0275
US

V. Phone/Fax

Practice location:
  • Phone: 787-395-1723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCISCO GOMEZ
Title or Position: CCEO
Credential: MD
Phone: 787-345-6666