Healthcare Provider Details

I. General information

NPI: 1346305463
Provider Name (Legal Business Name): CRISTINA GOMEZ DE NERY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTINA NERY M.D.

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONDOMINIO EL CENTRO II LOCAL 21 AVE. MUNOZ RIVERA 500
SAN JUAN PR
00918
US

IV. Provider business mailing address

PO BOX 364747
SAN JUAN PR
00936-4747
US

V. Phone/Fax

Practice location:
  • Phone: 787-759-7822
  • Fax: 787-759-8887
Mailing address:
  • Phone: 787-759-7822
  • Fax: 787-759-8887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number4986
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: