Active NPI
Patricia Celene Gomez, DC
- Chiropractor
- Pompano Beach, FL
National Provider Identifier
1760073662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13355
- Practice address
- 1436 E Atlantic Blvd Ste F614
Pompano Beach, FL 33060-6758 - Phone
- (954) 941-4000
- Fax
- (954) 941-4005
- NPI assigned
- Feb 2, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13355 | FL | Primary |
Addresses
Primary practice location
1436 E Atlantic Blvd Ste F614
Pompano Beach, FL 33060-6758
Mailing address
17628 SW 11TH St
Pembroke Pines, FL 33029-4850
Phone (973) 800-0107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13355 | FL | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1760073662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17628 SW 11TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330294850",
"telephone_number": "973-800-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 E ATLANTIC BLVD STE F614",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330606758",
"telephone_number": "954-941-4000",
"fax_number": "954-941-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "PATRICIA",
"middle_name": "CELENE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "13355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.