Roberto Alexis Gomez, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4433 Issued in FL

Practice address

5000 University Dr
Coral Gables, FL 33146-2008

Phone

(786) 308-3000

NPI assigned

Feb 8, 2016

Last updated

Feb 8, 2016By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1215395074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15065 SW 31ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854941",
            "telephone_number": "786-514-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "786-308-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ROBERTO",
        "middle_name": "ALEXIS",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "AL4433",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Camilo Gomez, PH.D.
• Darian Gomez
• Juan Camilo Gomez, M.D.
• Kevin Gomez
• Maria T Gomez, MD
• Stephanie Gomez
• Oscar J Gomezese, LMFT
• Michele Goncalves, APRN
• Maria Pilar Gondra, PSYD
• Gonzalez & Sons Home Care Inc II

• Athletic Trainer in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.