Active NPI
Maritza Gomez
- Physician Assistant
- Homestead, FL
National Provider Identifier
1275121915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113818
- Practice address
- 635 NE 9TH PL
Homestead, FL 33030-4925 - Phone
- (305) 562-0434
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113818 | FL | Primary |
Addresses
Primary practice location
635 NE 9TH PL
Homestead, FL 33030-4925
Mailing address
635 NE 9TH PL
Homestead, FL 33030-4925
Phone (305) 562-0434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1275121915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 NE 9TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304925",
"telephone_number": "305-562-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 NE 9TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304925",
"telephone_number": "305-562-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "MARITZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.