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Deactivated NPI 1184687279 Deactivated / Inactive NPI Male Practitioner

Dr. Manuel F Gomez , MD

General Practice • Hato Rey, PR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Manuel Gomez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 10, 2006
NPI Deactivation Date May 13, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Manuel Gomez, MD was a registered General Practice practicing in Hato Rey, PR. Throughout an active medical career spanning 14 years, Dr. Gomez provided care at the practice location at AVE DOMENECH#500 until profile deactivation on 2020-05-13.

Historical Medicare Part B clinical services included established patient assisted living visit, established patient outpatient office visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

Ave Domenech#500
Suite 602

Hato Rey, PR 00917

Telephone 7877646736
Fax 7877646736

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hato Rey, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Hato Rey, PR (4449 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes
120 32 $225.00 $102.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 18 $127.63 $115.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
25 22 $84.40 $56.78
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
22 11 $236.36 $91.01
99213 Established patient office or other outpatient visit, typically 15 minutes
14 13 $126.79 $79.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $303.57 $178.43

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 12962

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated May 13, 2020

Record deactivated on May 13, 2020

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Updated Practice Location February 20, 2019

Registered at 8011 N HIMES AVE STE 4, TAMPA, FL 336142700 (Tel: 8134881414)

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Updated Business Mailing Address February 20, 2019

Registered at 8011 N HIMES AVE STE 4, TAMPA, FL 336142700 (Tel: 8134881414)

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Provider Name / Credentials Updated February 20, 2019

Recorded as MANUEL GOMEZ BACALLAO, MD

NPI Profile Active October 29, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2013

Registered at AVE DOMENECH#500, SUITE 602, HATO REY, PR 00917 (Tel: 7877646736)

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Updated Business Mailing Address October 29, 2013

Registered at PO BOX 79051, CAROLINA, PR 009849051 (Tel: 7877646736)

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Provider Name / Credentials Updated October 29, 2013

Recorded as MANUEL GOMEZ, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2013

General Practice (License #12962 in PR)

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Initial NPI Registration & Enumeration April 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184687279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2006
Last Update: October 29, 2013
Deactivation Date: May 13, 2020

Mailing Address

Po Box 79051

Carolina, PR 009849051

Phone: 7877646736

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.