Provider Demographics
NPI:1508741539
Name:GOMEZ DROZ, NAOMIE VANESSA
Entity type:Individual
Prefix:
First Name:NAOMIE
Middle Name:VANESSA
Last Name:GOMEZ DROZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 69 BOX 15467
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-0062
Mailing Address - Country:US
Mailing Address - Phone:787-508-6882
Mailing Address - Fax:
Practice Address - Street 1:733 AVE DE DIEGO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-5004
Practice Address - Country:US
Practice Address - Phone:787-783-4285
Practice Address - Fax:787-793-4159
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR011390183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician