Ricardo A Gomez, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9356566 Issued in FL

Practice address

4200 SW 54TH CT
Fort Lauderdale, FL 33314-6726

Phone

(754) 312-5500

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1255846903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W 56TH ST APT 303",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127308",
            "telephone_number": "305-557-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SW 54TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333146726",
            "telephone_number": "754-312-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "RICARDO",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9356566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Gomez-Miranda, LMFT
• Emily G Gomez
• Galena Gomez
• Lizandra Gomez
• Nancy Renee Gomez, D.C.
• Sandra Julieth Gomez
• Sandra P. Gomez, D.D.S
• Emma Louisa Vera Gonzales, P.T.
• Lisandra Gonzalez Alfonso
• Cheryl Nicole Gonzalez Figueroa

• Adult Health Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.