Individual provider Active NPI

Veronica Gomez-Colorado, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1154553329
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 105232 Issued in FL
Practice address
1 SW 129TH Ave Ste 109
Pembroke Pines, FL 33027-1716
Phone
(954) 450-9595
Fax
(954) 450-9774
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 105232 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave Ste 109
Pembroke Pines, FL 33027-1716

Mailing address

1 SW 129TH Ave
Suite 109
Pembroke Pines, FL 33027-1761
Phone (954) 450-9595

Other practice location 1

12600 Pembroke Rd Ste 100
Miramar, FL 33027-2544
Phone (954) 450-9595

Other identifiers 1

IdentifierTypeStateIssuer
001477400MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000151 FL Practitioner - Internal Medicine 5890826911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tamer Gozleveli DO PAGroup PAC ID 0749314524, 3 clinicians

Practice addresses (Care Compare)

1 SW 129TH Ave
Suite 109
Pembroke Pines, FL 33027-1716
Phone (954) 450-9595

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 105232FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tamer Gozleveli DO PA CurrentSince Mar 31, 2015 Accepting new patients

Locations

12600 Pembroke Rd
Ste 100
Miramar, FL 33027
Phone (954) 432-5400

1 SW 129th Ave
Ste 109
Pembroke Pines, FL 33027
Phone (954) 433-4200

1 SW 129th Ave
Ste 304
Pembroke Pines, FL 33027
Phone (954) 422-5400

Interoperability endpoints

  • Direct secure messaging: veronica.gomez@tgdopa.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154553329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "address_2": "SUITE 109",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "954-450-9595",
            "fax_number": "954-450-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 109",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271716",
            "telephone_number": "954-450-9595",
            "fax_number": "954-450-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 Pembroke Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330272544",
            "country_code": "US",
            "telephone_number": "954-450-9595",
            "fax_number": "954-450-9774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ-COLORADO",
        "first_name": "VERONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 105232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001477400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.