Active NPI
Sandra Gomez
- Pediatric Chiropractor
- Miami, FL
National Provider Identifier
1568768869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- NOT AVAILABLE
- Practice address
- 2720 SW 97TH Ave Ste C107
Miami, FL 33165-2677 - Phone
- (305) 960-7073
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | NOT AVAILABLE | NY | Primary |
Addresses
Primary practice location
2720 SW 97TH Ave Ste C107
Miami, FL 33165-2677
Mailing address
7977 NW 116TH Ave
Doral, FL 33178-2533
Phone (305) 960-7073
Other practice location 1
1011 Ives Dairy Road
Building #2, Suite #105
Miami, FL 33179
Phone (305) 705-4603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH11428 | Other | FL | CH LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NOT AVAILABLE | NY | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitto MD Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Miami, FL
- NPI 1932578747
-
- Physical Therapist
- Miami, FL
- NPI 1700689064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1568768869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7977 NW 116TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331782533",
"telephone_number": "305-960-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SW 97TH AVE STE C107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652677",
"telephone_number": "305-960-7073"
}
],
"practiceLocations": [
{
"address_1": "1011 Ives Dairy Road",
"address_2": "Building #2, Suite #105",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33179",
"country_code": "US",
"telephone_number": "305-705-4603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "NY",
"license": "NOT AVAILABLE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CH LICENSE",
"identifier": "CH11428",
"state": "FL"
}
],
"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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.