Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3108 | PR |
Y | 103TC0700X | Clinical Psychologist | 3108 | PR |
NPI | 1003068669 |
---|---|
Provider Name | Dr. Norma Iris Gomez Soto |
First Address | Arecibo, PR 00613-0433 |
Second Address | Arecibo, PR 00612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2008 |
Last Update Date | 24/08/2017 |