Active NPI
Juan L. Gomez, MD
- Orthopaedic Surgery Physician
- Winter Park, FL
National Provider Identifier
1497821383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME28016
- Practice address
- 1479 Gene Street
Winter Park, FL 32789 - Phone
- (407) 740-6400
- Fax
- (407) 644-1427
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME28016 | FL | Primary |
Addresses
Primary practice location
1479 Gene Street
Winter Park, FL 32789
Mailing address
1479 Gene Street
Winter Park, FL 32789
Phone (407) 740-6400
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME28016 | FL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1497821383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 GENE STREET",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-740-6400",
"fax_number": "407-644-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 GENE STREET",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-740-6400",
"fax_number": "407-644-1427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JUAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME28016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.