All Medicaid billing entities listing GOMEZ, MAYRA (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Puerto Rico | 1 | $599K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IDENTAL CENTER, PROFESSIONAL DENTISTRY, CSP | YABUCOA, PR | General Practice Dentistry | $599K |