Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Luis Raul Gomez Ortiz, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063911170

Dr. Luis Raul Gomez Ortiz, MD is a Student in an Organized Health Care Education/Training Program in Yonkers, New York. Works from 3 locations. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

127 S Broadway
Yonkers, NY 10701-4006
Phone: (787) 201-0039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199 — (787) 641-1616
  • Barrio Monacillos, San Juan, PR 00935-0001 — (787) 757-1800

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 17192-I (PR)

Record details

NPI number1063911170
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 4, 2018
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

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