Basic Information
Provider Information
NPI: 1760617187
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOMEZ DANIES
FirstName: HERNANDO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherOrganizationType:  
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Mailing Information
Address1: 200 LOTHROP ST
Address2: FORBES TOWER, SUITE 9055
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 200 LOTHROP ST
Address2: 613 SCAIFE HALL
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber: 4126473136
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/29/2009
LastUpdateDate: 05/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMD440194PAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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