Organization Active NPI

Juan Camilo Gomez MD PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Coral Gables, FL
National Provider Identifier
1548814155
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
JUAN CAMILO GOMEZ MD PLLC
Practice address
2601 SW 37TH Ave Ste 904
Coral Gables, FL 33133-2751
Phone
(305) 283-8375
NPI assigned
Jul 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Dr. Juan Camilo Gomez, MD
Title
Owner
Phone
(305) 283-8375

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

2601 SW 37TH Ave Ste 904
Coral Gables, FL 33133-2751

Mailing address

2601 SW 37TH Ave Ste 904
Coral Gables, FL 33133-2751
Phone (305) 283-8375

National Provider Directory

National Provider Directory

Locations

2601 SW 37th Ave
Ste 904
Miami, FL 33133
Phone (305) 447-6688

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1548814155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 904",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331332751",
            "telephone_number": "305-283-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 904",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331332751",
            "telephone_number": "305-283-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CAMILO GOMEZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CAMILO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-283-8375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.