Angela Gomez MD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ANGELA GOMEZ MD PA

Practice address

747 Ponce de Leon Blvd
Suite 606
Coral Gables, FL 33134-2074

Phone

(305) 444-7779

Fax

(305) 444-7290

NPI assigned

Feb 11, 2010

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela A Gomez, MDNPI 1720164064

Title

President

Phone

(305) 444-7779

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela A Gomez, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Coral Gables, FL
  • NPI 1720164064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1679805998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 606",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342074",
            "telephone_number": "305-444-7779",
            "fax_number": "305-444-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 606",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342074",
            "telephone_number": "305-444-7779",
            "fax_number": "305-444-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA GOMEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME82920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262760400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diana Nicole Angel
• Angelo Sadeghpour MD PHD, PLLC
• Angels Touch Pharmacy Dicount Corp
• Angie Home Health Care Inc
• Armando A Angulo Jr., O.D.
• Anish Aesthetics Corp

• Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.

Verify at the official NPI Registry.