Active NPI
Juan Camilo Gomez MD PLLC
- Geriatric Medicine (Family Medicine) Physician
- Coral Gables, FL
National Provider Identifier
1548814155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.