Active NPI
Maria R Gomez MD PA
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MARIA R GOMEZ MD PA
- Practice address
- 302 N Dale Mabry Hwy
Suite 200
Tampa, FL 33609-1249 - Phone
- (813) 873-2663
- Fax
- (813) 873-7001
- NPI assigned
- Nov 17, 2008
- Last updated
- Jul 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Rosario Gomez, M.D
- Title
- Doctor
- Phone
- (813) 873-2663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
302 N Dale Mabry Hwy
Suite 200
Tampa, FL 33609-1249
Mailing address
302 N Dale Mabry Hwy
Suite 200
Tampa, FL 33609-1249
Phone (813) 873-2663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79920 | Other | FL | BCBS |
| 045372200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
503 S Macdill Ave
Ste 1
Tampa, FL 33609
Phone (813) 873-2663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1831280965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405641600000",
"number": "1215181318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N DALE MABRY HWY",
"address_2": "SUITE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091249",
"telephone_number": "813-873-2663",
"fax_number": "813-873-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N DALE MABRY HWY",
"address_2": "SUITE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091249",
"telephone_number": "813-873-2663",
"fax_number": "813-873-7001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIA R GOMEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2014-07-18",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "ROSARIO",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "813-873-2663",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "79920",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045372200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.