Individual provider Active NPI

Narciso Lino Gomez, M.D.

  • Colon & Rectal Surgery Physician
  • Miramar, FL
National Provider Identifier
1710178116
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME98664 Issued in FL
Practice address
12871 Miramar Parkway
Suite 206
Miramar, FL 33026-2908
Phone
(954) 369-5717
Fax
(954) 827-0717
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME98664 FL
Colon & Rectal Surgery Physician 208C00000X ME98664 FL Primary

Addresses

Primary practice location

12871 Miramar Parkway
Suite 206
Miramar, FL 33026-2908

Mailing address

320 S Flamingo Rd Ste 351
Pembroke Pines, FL 33027-1770
Phone (954) 369-5717

Other identifiers 1

IdentifierTypeStateIssuer
115065000MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000348 FL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7113099615 Reassigns benefits to 1 organization
Practice locations: Hollywood, FL; Pembroke Pines, FL

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premium Healthcare Holdings, LLLPGroup PAC ID 7315320207, 8 clinicians

Practice addresses (Care Compare)

2400 SW 69TH Ave
Suite 100
Miami, FL 33155-2947
Phone (305) 265-4441

3475 Sheridan St
Suite 201
Hollywood, FL 33021-3659
Phone (954) 369-5717

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Healthcare Holdings, LLLP CurrentSince Sep 1, 2022 Accepting new patients
Hoover Family Medicine PA Past Accepting new patients
ENT Group, LLC Past Accepting new patients

Locations

2400 SW 69th Ave
Ste 100
Miami, FL 33155

2400 SW 69th Ave
Miami, FL 33155
Phone (305) 413-5070

6850 Coral Way
Miami, FL 33155
Phone (305) 665-8205

Organizations & group practices 3

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1710178116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S FLAMINGO RD STE 351",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271770",
            "telephone_number": "954-369-5717",
            "fax_number": "954-827-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 MIRAMAR PARKWAY",
            "address_2": "SUITE 206",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330262908",
            "telephone_number": "954-369-5717",
            "fax_number": "954-827-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "NARCISO",
        "middle_name": "LINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME98664",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME98664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115065000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.