Carlos Camilo Gomez, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7327 Issued in FL

Practice address

301 Almeria Ave
Suite 210
Coral Gables, FL 33134

Phone

(786) 897-7007

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carlos Gomez-Estefan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Center for Human Formation, LLC

  • Psychologist
  • Coral Gables, FL
  • NPI 1831428838
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1770638637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY STE 2107",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462944",
            "telephone_number": "786-622-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALMERIA AVE",
            "address_2": "SUITE 210",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "786-897-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Almeria Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345822",
            "country_code": "US",
            "telephone_number": "786-897-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CARLOS",
        "middle_name": "CAMILO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "GOMEZ-ESTEFAN",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jackeline T Gomez-Jorge, M.D.
• Angela A Gomez, MD
• Beatriz Gomez, FNP
• Brianna Gomez, M.S
• Camille Gomez, RMHCI
• Darian Gomez
• Juan Camilo Gomez, M.D.
• Kevin Gomez
• Maria T Gomez, MD
• Roberto Alexis Gomez, ATC, LAT

• Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.