Organization Active NPI

Maria R Gomez MD PA

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1215181318
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Dr. Maria Rosario Gomez, M.DNPI 1831280965
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
79920OtherFLBCBS
045372200MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.