Mario Miguel Gomez Fernandez, ARNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9643856 Issued in FL

Practice address

7480 SW 40TH St Ste 430
Miami, FL 33155-6630

Phone

(786) 536-4266

NPI assigned

Feb 27, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pine Island Medical IncGroup PAC ID 4082035035, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pine Island Medical Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1275184855

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Mindcare by M&S LLC

  • Behavior Analyst
  • Doral, FL
  • NPI 1972458446

  Multi-Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1023815925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 SW 145TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843109",
            "telephone_number": "786-351-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 SW 40TH ST STE 430",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556630",
            "telephone_number": "786-536-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ FERNANDEZ",
        "first_name": "MARIO",
        "middle_name": "MIGUEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9643856",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yairin Gomez Diaz
• Yolanda Gomez Diaz
• Ymaris Gomez Facenda
• Rosangel Gomez Fajardo
• Gomez Family Care,Inc
• Lilibeth Gomez Flores
• Ivan Gomez Fonseca
• Victor Manuel Gomez Fonseca
• Yusily Gomez Fraga
• Maidelys De la Caridad Gomez Franqueiro

• Registered Nurse in Miami, FL
• Providers in Miami, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.