| Kevin Gomez Diaz, | |
|
1450 Ave Ashford, San Juan, PR 00907-1590 | |
| (787) 344-0708 | |
| Not Available |
| Full Name | Kevin Gomez Diaz |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1450 Ave Ashford, San Juan, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013745678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1091 (Puerto Rico) | Primary |
| 111N00000X | Chiropractor | CH14734 (Florida) | Secondary |
| Provider Name | Dynamic Care, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841461241 PECOS PAC ID: 7810158565 Enrollment ID: O20120413000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Gomez Diaz, 1 Calle Ronda Apt 902, San Juan, PR 00926-2363 Ph: (787) 627-0704 | Kevin Gomez Diaz, 1450 Ave Ashford, San Juan, PR 00907-1590 Ph: (787) 344-0708 |
Dr. Luis B Rivera Nazario, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 525 Ave Fd Roosevelt, La Torre De Plaza, Suite 805, San Juan, PR 00918 Phone: 787-233-1001 | |
Centro Quiropractico Familiar P.s.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 1761 Carr 8838, Bo Monacillos, San Juan, PR 00926 Phone: 787-758-7813 | |
Condado Wellness Center Psc Chiropractor Medicare: Medicare Enrolled Practice Location: 150 Calle De Diego, San Juan, PR 00925 Phone: 787-230-7557 | |
Carlos Jose Russe-russe, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 252 Calle Convento, San Juan, PR 00912 Phone: 787-726-1113 | |
Centro Quiropractico Del Parque Csp Chiropractor Medicare: Medicare Enrolled Practice Location: 146 Calle Del Parque, San Juan, PR 00911 Phone: 787-722-5422 Fax: 787-721-5869 | |
Estefania Rivera Ayala, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: Las Lomas 828 Ave. San Patricio, San Juan, PR 00921 Phone: 787-782-8311 |