Active NPI
Marilyn E Gomez, LMT
- Other Specialist/Technologist
- Phoenix, AZ
National Provider Identifier
1801957345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- MT-04713P
- Practice address
- 3109 East Cactus Road
Phoenix, AZ 85032-7155 - Phone
- (480) 570-1897
- Fax
- (602) 788-1570
- NPI assigned
- Dec 12, 2006
- 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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | MT-04713P | AZ | Primary |
Addresses
Primary practice location
3109 East Cactus Road
Phoenix, AZ 85032-7155
Mailing address
3109 East Cactus Road
Phoenix, AZ 85032-7155
Phone (480) 570-1897
Other names 1
- Miss Marilyn E Torres-Sierra
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 |
|---|---|---|---|
| MT-04713P | AZ | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801957345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 EAST CACTUS ROAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327155",
"telephone_number": "480-570-1897",
"fax_number": "602-788-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 EAST CACTUS ROAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327155",
"telephone_number": "480-570-1897",
"fax_number": "602-788-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "MARILYN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "AZ",
"license": "MT-04713P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYN",
"last_name": "TORRES-SIERRA",
"middle_name": "E",
"prefix": "MISS",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.