Destini Rae Gomez
Destini Rae Gomez is a General Practice Physician in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.
- Licensed in
- NM
- In the registry since
- 2022
- Specialties on file
- 5
Practice location Address checks out
1264 Rodeo RdSanta Fe, NM 87505-6816
Phone: (505) 982-2129
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 60815 (NM) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 60815 (NM) |
| Registered Nurse | Taxonomy 163W00000X · Licence 60815 (NM) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 60815 (NM) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 60815 (NM) |
Record details
| NPI number | 1285376087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 12, 2022 |
| Last updated in NPPES | March 5, 2025 |
| Certification date | March 5, 2025 |
| Mailing address | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 |
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