Individual ProviderJose E GomezDentistDental ProvidersPractice AddressBlvd Gral Sanchez Taboada, Zona Rio Local 26, Tijuana, Baja California 22010 (Mexico)(664) 977-6267(619) 883-2751PECOS EnrollmentBased on the most recent information from CMS, provider Jose E Gomez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790535102Provider TypeIndividualFull NameGomez, Jose EGenderMaleSole ProprietorYesEnumeration Date3/26/2024Last Updated3/26/2024Contact InformationPractice LocationPractice AddressBlvd Gral Sanchez Taboada, Zona Rio Local 26, Tijuana, Baja California 22010 (Mexico)Phone(664) 977-6267FaxUnlisted FaxMailing LocationMailing Address319 G St, Chula Vista, CA 91910-4504Phone(619) 883-2751FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense9474085