Antonio Gomez, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

233082 Issued in MA

Practice address

180 Brookline Ave
Apt 339
Boston, MA 02215

Phone

(617) 236-2095

NPI assigned

Nov 9, 2009

Last updated

Nov 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1225365430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROOKLINE AVE UNIT 339",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153926",
            "telephone_number": "617-236-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BROOKLINE AVE",
            "address_2": "APT 339",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-236-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "233082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Del Pilar Gomez-Morad, MD
• Justin Lorenz Gomez-Stafford, MS
• Alexis Catherine Gomez, MD
• Amanda Gomez, MD
• Angelica V Gomez, M.S.
• Blanca M Gomez
• Esthephania Mercedez Gomez, MSW
• Gabriela Gomez, MD
• Kenia Loiret Gomez, PH.D.
• Keyshla Angeliz Gomez

• Adult Reconstructive Orthopaedic Surgery Physician in Boston, MA
• Providers in Boston, MA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.