Alfredo Jose Gotera Avila, SA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

18-182 Issued in FL

Practice address

600 NW 35TH Ave Ste 102
Miami, FL 33125-4000

Phone

(407) 820-2693

NPI assigned

May 30, 2018

Last updated

Nov 20, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Healthcare Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1598580938

  Physician Assistant

  NPD Authorized official
• US Medical Solutions, LLC

  • Surgical Physician Assistant
  • St Petersburg, FL
  • NPI 1174177927
  NPD Authorized official

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1205328978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 NW 82ND ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781760",
            "telephone_number": "407-820-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 35TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254000",
            "telephone_number": "407-820-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTERA AVILA",
        "first_name": "ALFREDO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "18-182",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "18-182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raluca Gosman, MD
• Ashley Marie Gosson
• Raul Gustavo Gosthe, M.D.
• Saugata Goswami, M.D.
• Gotardo a. Rodrigues MD LLC
• Barbara Ivon Gotera
• Chitra Gotluru, MD
• Sandra Rachel Gotman, D.P.M.
• Paulin Gotrace
• Jordan Larry Gott, OD

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.