Individual provider Active NPI

Jerry Gomez Rosado

  • Certified Registered Nurse Anesthetist
  • Boynton Beach, FL
National Provider Identifier
1316394869
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9474204 Issued in FL
Practice address
9655 Boynton Beach Blvd
Boynton Beach, FL 33472-4421
Phone
(561) 737-7733
NPI assigned
May 14, 2016
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 105546 PR
Certified Registered Nurse Anesthetist 367500000X APRN9474204 FL Primary

Addresses

Primary practice location

9655 Boynton Beach Blvd
Boynton Beach, FL 33472-4421

Mailing address

W27 Calle San Joaquin
Urb.Mariolga
Caguas, PR 00725-6452
Phone (787) 641-7582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180424002870 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335402411 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Alliance Anesthesia of Florida PLLCGroup PAC ID 3476927203, 11 clinicians

Practice addresses (Care Compare)

1117 N Olive Ave
Suite 201
West Palm Beach, FL 33401-3520
Phone (561) 327-7492

5645 S Military TRL
Lake Worth, FL 33463-6978
Phone (833) 964-1135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN9474204FLMDCertified Registered Nurse Anesthetist
105546PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Alliance Anesthesia of Florida, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2024 Accepting new patients
Gulfstream Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 8, 2018 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2019 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2019 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2019 Accepting new patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2024 Accepting new patients

Locations

2351 S Seacrest Blvd
Ste 138
Boynton Beach, FL 33435
Phone (561) 732-5900

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7077

2140 W 68th St
Ste 102
Hialeah, FL 33016
Phone (305) 822-4107

2140 W 68th St
Ste 305
Hialeah, FL 33016
Phone (305) 822-4107

5645 S Military Trl
Lake Worth, FL 33463
Phone (561) 689-4500

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

1157 S State Road 7
Wellington, FL 33414
Phone (561) 214-6094

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

1117 N Olive Ave
Ste 201
West Palm Beach, FL 33401
Phone (561) 327-7492

Organizations & group practices 7

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": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1316394869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W27 CALLE SAN JOAQUIN",
            "address_2": "URB.MARIOLGA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256452",
            "telephone_number": "787-641-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724421",
            "telephone_number": "561-737-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ ROSADO",
        "first_name": "JERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-14",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "105546",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9474204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.