Individual provider Active NPI

Eduardo Gomez, CRNA

  • Certified Registered Nurse Anesthetist
  • North Miami, FL
National Provider Identifier
1124328851
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1366882 Issued in FL
Practice address
2047 NE 121St Rd
North Miami, FL 33181-3306
Phone
(305) 951-8371
Fax
(305) 868-3731
NPI assigned
Oct 28, 2010
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1366882 FL Primary

Addresses

Primary practice location

2047 NE 121St Rd
North Miami, FL 33181-3306

Mailing address

2047 NE 121St Rd
North Miami, FL 33181-3306
Phone (305) 951-8371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140107001327 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345478830 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Well AnesthetistsGroup PAC ID 1658816020, 6 clinicians
Brevard Eye Center IncGroup PAC ID 7719884576, 8 clinicians
Guide Anesthesia FL LLCGroup PAC ID 5698273142, 32 clinicians

Practice addresses (Care Compare)

Kissimmee, FL 34746
Phone (407) 361-6374

665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone (321) 821-7446

921 N Main St
Kissimmee, FL 34744-4570
Phone (407) 933-7800

Merit-based Incentive Payment System (MIPS)

Final score
78.72 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
44.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1366882FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Well Anesthetists Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2025 Accepting new patients
North Tampa Anesthesia Consultants CurrentSince Apr 16, 2024 Accepting new patients
Brevard Eye Center CurrentSince Nov 28, 2023 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2024 Accepting new patients
Brevard Eye Center, Inc Current Accepting new patients
Physician Partners of America Crna Operations LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2025 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

921 N Main St
Ste 203
Kissimmee, FL 34744
Phone (407) 361-6374

2200 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 344-0930

665 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 676-1700

8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1402 W Fletcher Ave
Tampa, FL 33612
Phone (813) 627-4723

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1124328851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 NE 121ST RD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813306",
            "telephone_number": "305-951-8371",
            "fax_number": "305-868-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 NE 121ST RD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813306",
            "telephone_number": "305-951-8371",
            "fax_number": "305-868-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "EDUARDO",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "1366882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.