Gomez, Jaime Rafael

Gomez, Jaime Rafael is an sole proprietor health care provider with primary practice located at 900 Chelsea St , El Paso TX 79903-4927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gomez, Jaime Rafael can be contacted via phone (915) 857-2781.

Contact Information

Primary practice address
900 Chelsea St El Paso TX 79903-4927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X H9957 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X H9957 Texas

Profile Details

NPI number 1760563381
LBN Legal business name Gomez, Jaime Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Apr 20th, 2021 - 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 1760563381 NPPES
Texas MEDICAID 98908901
Texas Other H9957

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