Organization Active NPI

Narciso L Gomez MD

  • Colon & Rectal Surgery Physician
  • Miramar, FL
National Provider Identifier
1215218680
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME98664 Issued in FL
Legal business name
NARCISO L GOMEZ MD
Practice address
12781 Miramar Pkwy
Suite 206
Miramar, FL 33027-2908
Phone
(954) 369-5717
Fax
(954) 827-0717
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Narciso L. Gomez, M.D.
Title
Physician/President
Phone
(954) 369-5717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME98664 FL
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X ME98664 FL Primary

Addresses

Primary practice location

12781 Miramar Pkwy
Suite 206
Miramar, FL 33027-2908

Mailing address

325 S Biscayne Blvd
Miami, FL 33131-2306
Phone (954) 369-5717

Other identifiers 1

IdentifierTypeStateIssuer
280214700MedicaidFL

National Provider Directory

National Provider Directory

Locations

325 S Biscayne Blvd
Miami, FL 33131

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1215218680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312306",
            "telephone_number": "954-369-5717",
            "fax_number": "954-827-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY",
            "address_2": "SUITE 206",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272908",
            "telephone_number": "954-369-5717",
            "fax_number": "954-827-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARCISO L GOMEZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NARCISO",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "954-369-5717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME98664",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME98664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280214700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.