San Martin Gomez, Mario
San Martin Gomez, Mario is an individual health care provider with primary practice located at 636 Del Prado Blvd S , Cape Coral FL 33990-2668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. San Martin Gomez, Mario can be contacted via phone (239) 424-3123.Contact Information
Primary practice address
636 Del Prado Blvd S
Cape Coral FL 33990-2668
Phone: (239) 424-3123
Fax: (239) 424-4041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 70462 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301097702 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301097702 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 70462 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME157634 | Florida |
Profile Details
| NPI number | 1598096679 |
|---|---|
| LBN Legal business name | San Martin Gomez, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2010 |
| Last updated | Nov 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598096679 | NPPES |
| Wisconsin | MEDICAID | 100141906 |
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