Organization Active NPI

Rene J Gomez MD PA

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1780977991
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME20305 Issued in FL
Legal business name
RENE J GOMEZ MD PA
Practice address
7400 N Kendall Dr Ste 511
Miami, FL 33156-7712
Phone
(305) 670-8165
Fax
(305) 670-8164
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Dr. Rene J Gomez, MD PANPI 1457390486
Title
Doctor
Phone
(305) 670-8165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME20305 FL Primary

Addresses

Primary practice location

7400 N Kendall Dr Ste 511
Miami, FL 33156-7712

Mailing address

7400 N Kendall Dr Ste 511
Miami, FL 33156-7712
Phone (305) 670-8165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120629000143 FL Part B Supplier - Clinic/Group Practice 4082879804 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8950 SW 74th Ct
Ste 1404
Miami, FL 33156
Phone (305) 504-1855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1780977991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 N KENDALL DR STE 511",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567712",
            "telephone_number": "305-670-8165",
            "fax_number": "305-670-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 N KENDALL DR STE 511",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567712",
            "telephone_number": "305-670-8165",
            "fax_number": "305-670-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE J GOMEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-670-8165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME20305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.