Individual provider Active NPI

Donna Jennifer Veloso-Gomez, RPA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1336145671
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3551 Issued in FL
Practice address
9165 SW 87TH Ave
Miami, FL 33176-2302
Phone
(305) 233-0011
Fax
(305) 233-0033
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3551 FL Primary

Addresses

Primary practice location

9165 SW 87TH Ave
Miami, FL 33176-2302

Mailing address

9165 SW 87TH Ave
Miami, FL 33176-2302
Phone (305) 233-0011

Other identifiers 1

IdentifierTypeStateIssuer
592417574001OtherCHAMPUS/TRICARE

Other names 1

  • Dana Jennifer Velusa-Gomez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3551FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1336145671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762302",
            "telephone_number": "305-233-0011",
            "fax_number": "305-233-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762302",
            "telephone_number": "305-233-0011",
            "fax_number": "305-233-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELOSO-GOMEZ",
        "first_name": "DONNA",
        "middle_name": "JENNIFER",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "592417574001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "VELUSA-GOMEZ",
            "middle_name": "JENNIFER",
            "credential": "RPA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.