Individual provider Active NPI

Niurvis Gomez, DDS

  • Student in an Organized Health Care Education/Training Program
  • Miami, FL
National Provider Identifier
1720447105
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2435 NW 7TH St
Miami, FL 33125-3134
Phone
(305) 501-2804
NPI assigned
Feb 15, 2016
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

2435 NW 7TH St
Miami, FL 33125-3134

Mailing address

4236 SW 164TH Path
Miami, FL 33185-5290
Phone (786) 442-7358

Other practice location 1

Carretera 188 Interseccion 187
Loiza, PR 00772
Phone (787) 876-2042

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131001925 FL Order and Referring Only - DentistPractitioner - Dentist 1850638677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1720447105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 SW 164TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855290",
            "telephone_number": "786-442-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253134",
            "telephone_number": "305-501-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carretera 188 Interseccion 187",
            "address_purpose": "LOCATION",
            "city": "Loiza",
            "state": "PR",
            "postal_code": "00772",
            "country_code": "US",
            "telephone_number": "787-876-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "NIURVIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.