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Contact Information

DESTINI R GOMEZ
1264 RODEO RD
SANTA FE, NM87505-6816
 Phone: 505-982-2129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DESTINI R GOMEZ · (Female)

NPI # 1285376087
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2022
Last updated 03/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 60815
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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