Individual provider Active NPI

Edgar Enrique Gomez Sr., BASIC X RAY TECH

  • Radiologic Technologist
  • Miami, FL
National Provider Identifier
1326088022
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
48679 Issued in FL
Practice address
711 NW 23Rd Ave
204
Miami, FL 33125-3298
Phone
(305) 541-2888
Fax
(305) 541-2879
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 48679 FL Primary

Addresses

Primary practice location

711 NW 23Rd Ave
204
Miami, FL 33125-3298

Mailing address

9220 Fontainebleau Blvd
503
Miami, FL 33172-4237
Phone (786) 514-2855

Other identifiers 1

IdentifierTypeStateIssuer
48679OtherFLXRAY MACHINE OPERATOR

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48679FLMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dept of X-Ray and Ultrasound Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326088022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 FONTAINEBLEAU BLVD",
            "address_2": "503",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724237",
            "telephone_number": "786-514-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE",
            "address_2": "204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253298",
            "telephone_number": "305-541-2888",
            "fax_number": "305-541-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "EDGAR",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "BASIC X RAY TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "48679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XRAY MACHINE OPERATOR",
            "identifier": "48679",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.