Organization Active NPI

Miami Spine and Wellness Center

  • Neurological Surgery Physician
  • Miami, FL
National Provider Identifier
1518793017
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MIAMI SPINE AND WELLNESS CENTER
Practice address
1011 Ives Dairy Rd Ste 105
Miami, FL 33179-2536
Phone
(305) 705-4603
NPI assigned
Sep 11, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Sandra Gomez, DC
Title
Owner
Phone
(305) 705-4603

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

1011 Ives Dairy Rd Ste 105
Miami, FL 33179-2536

Mailing address

1011 Ives Dairy Rd Ste 105
Miami, FL 33179-2536
Phone (305) 705-4603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1518793017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 IVES DAIRY RD STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792536",
            "telephone_number": "305-705-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 IVES DAIRY RD STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792536",
            "telephone_number": "305-705-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI SPINE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-705-4603",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.