Pablo Erasmo Gomez Ruiz, SA-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11039203 Issued in FL

Practice address

16521 SW 60TH Ter
Miami, FL 33193-5705

Phone

(956) 701-5412

NPI assigned

Feb 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CCR Medical Center, LLC.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1518598119

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1549756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1518422906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 SW 60TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935705",
            "telephone_number": "956-701-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 SW 60TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935705",
            "telephone_number": "956-701-5412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8150 SW 8th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331444273",
            "country_code": "US",
            "telephone_number": "855-227-5055",
            "fax_number": "888-822-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ RUIZ",
        "first_name": "PABLO",
        "middle_name": "ERASMO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-10",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "16-226",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11039203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vilma Yovana Gomez Rancano
• Carolina Gomez Rodriguez, MD
• Dayra Gomez Rodriguez
• Patricia Gomez Rojas
• Maribel D Gomez Rosell
• Guillermo P Gomez Saldana
• Lorena Gomez Salinas
• Lisandra De la C Gomez Sanchez
• Ana M Gomez Santana
• Kirenia Gomez Santana

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.