Provider Demographics
NPI:1649160607
Name:GOMES, INDIRA VERONICA
Entity type:Individual
Prefix:
First Name:INDIRA
Middle Name:VERONICA
Last Name:GOMES
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 1:339 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-5229
Mailing Address - Country:US
Mailing Address - Phone:774-606-6672
Mailing Address - Fax:774-606-6672
Practice Address - Street 1:339 BROOK ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-5229
Practice Address - Country:US
Practice Address - Phone:774-606-6672
Practice Address - Fax:774-606-6672
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter