Individual provider Active NPI

Jose Alejandro Gomez-Rivera, D.O.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1447366299
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6658 Issued in FL
Practice address
9485 SW 72ND St
A-104
Miami, FL 33173-3242
Phone
(305) 270-1142
Fax
(305) 270-1151
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6658 FL Primary

Addresses

Primary practice location

9485 SW 72ND St
A-104
Miami, FL 33173-3242

Mailing address

9485 SW 72ND St
A-104
Miami, FL 33173-3242
Phone (305) 270-1142

Other identifiers 1

IdentifierTypeStateIssuer
378322700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001522 FL Practitioner - Family Practice 7315926698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9485 SW 72 St
Suite A104
Miami, FL 33173-3214
Phone (305) 270-1142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS6658FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine of Miami,P.a. Family Medicine CurrentSince Jan 28, 1999 Accepting new patients

Locations

9485 SW 72nd St
Ste A104
Miami, FL 33173
Phone (305) 270-1142

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJABDD/Endpoint/HJABDD

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447366299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 SW 72ND ST",
            "address_2": "A-104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733242",
            "telephone_number": "305-270-1142",
            "fax_number": "305-270-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 SW 72ND ST",
            "address_2": "A-104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733242",
            "telephone_number": "305-270-1142",
            "fax_number": "305-270-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-RIVERA",
        "first_name": "JOSE",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378322700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.