Active NPI
Alfredo F. Gomez, CRNA
- Certified Registered Nurse Anesthetist
- Coral Springs, FL
National Provider Identifier
1437139292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP 2515132
- Practice address
- 1725 N University Dr
2ND Floor
Coral Springs, FL 33071-6089 - Phone
- (954) 227-7760
- Fax
- (954) 227-9975
- NPI assigned
- Jan 18, 2006
- Last updated
- Apr 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP 2515132 | FL | Primary |
Addresses
Primary practice location
1725 N University Dr
2ND Floor
Coral Springs, FL 33071-6089
Mailing address
1986 NE 35TH CT
Oakland Park, FL 33308-6255
Phone (954) 253-0932
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302363000 | Medicaid | FL | |
| G2239 | Other | FL | BCBS OF FLORIDA |
| 430050723 | Other | FL | RAILROAD MEDICARE |
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
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2515132 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Anesthesia PA | Past | Accepting new patients | |
| Pinnacle Anesthesia PL | Past | Accepting new patients | |
| Albert Cohen MD PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Delray Beach, FL
- NPI 1962452128
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1285741322
-
- Anesthesiology Physician
- Delray Beach, FL
- NPI 1326132614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1437139292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1986 NE 35TH CT",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333086255",
"telephone_number": "954-253-0932",
"fax_number": "954-253-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 N UNIVERSITY DR",
"address_2": "2ND FLOOR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716089",
"telephone_number": "954-227-7760",
"fax_number": "954-227-9975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ALFREDO",
"middle_name": "F.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 2515132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302363000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "G2239",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430050723",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.