Active NPI
Narciso L Gomez MD
- Colon & Rectal Surgery Physician
- Miramar, FL
National Provider Identifier
1215218680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME98664
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME98664 | FL | |
| Colon & Rectal Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280214700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.