Individual provider Active NPI

Gabriela Victoria Gamero, PA-C

  • Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1568962017
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111121 Issued in FL
Practice address
401 Coral Way Ste 207
Coral Gables, FL 33134-4924
Phone
(054) 445-2941
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111121 FL Primary

Addresses

Primary practice location

401 Coral Way Ste 207
Coral Gables, FL 33134-4924

Mailing address

11042 NW 72ND Ter
Doral, FL 33178-3663

Other practice location 1

12600 SW 120th St Ste 113
Miami, FL 33186-9116
Phone (305) 971-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327002197 FL Practitioner - Physician Assistant 5092077214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Dermatology Group, Inc.Group PAC ID 7618026253, 8 clinicians

Practice addresses (Care Compare)

12600 SW 120TH St
Suite 113
Miami, FL 33186-9116
Phone (305) 971-1210

401 Coral Way
Suite 207
Coral Gables, FL 33134-4924
Phone (305) 445-2941

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9111121FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Dermatology Associates, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ggamero@dermatologyofsouthflorida.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1568962017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 NW 72ND TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344924",
            "telephone_number": "054-445-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 SW 120th St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331869116",
            "country_code": "US",
            "telephone_number": "305-971-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMERO",
        "first_name": "GABRIELA",
        "middle_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.