Individual provider Active NPI

Manuel Joaquin Gomez, MD

  • Pediatrics Physician
  • Tavernier, FL
National Provider Identifier
1245274232
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME92538 Issued in FL
Practice address
91550 Overseas Hwy Ste 209
Tavernier, FL 33070-2513
Phone
(305) 853-0558
Fax
(305) 853-0744
NPI assigned
Jun 16, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME92538 FL Primary

Addresses

Primary practice location

91550 Overseas Hwy Ste 209
Tavernier, FL 33070-2513

Mailing address

91550 Overseas Hwy Ste 209
Tavernier, FL 33070-2513
Phone (305) 853-0558

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL flkeyspeds@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208001309 FL Practitioner - Pediatric Medicine 6204825151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Zambrano Pediatrics, Inc. Pediatrics Current Accepting new patients
Florida Keys Pediatric and Adolescent Center, Inc PastSince Jun 15, 2025 Accepting new patients
Hospitalist Emo of Ny, PC Past Accepting new patients
Boro Medical, P.C. Past Accepting new patients
For-Med Medical Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1245274232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91550 OVERSEAS HWY STE 209",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702513",
            "telephone_number": "305-853-0558",
            "fax_number": "305-853-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91550 OVERSEAS HWY STE 209",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702513",
            "telephone_number": "305-853-0558",
            "fax_number": "305-853-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MANUEL",
        "middle_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME92538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "flkeyspeds@gmail.com",
            "affiliation": "N",
            "address_1": "91550 Overseas Hwy Ste 209",
            "city": "Tavernier",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330702513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

Verify at the official NPI Registry.