Jorge Gomez MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

JORGE GOMEZ MD PA

Practice address

1355 S International Pkwy
1451
Lake Mary, FL 32746-1694

Phone

(407) 333-9888

Fax

(407) 333-9444

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Gomez Amador, MD

Title

Presidente

Phone

(407) 333-9888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Sandy Carmona Zamora, MD

  • General Practice Physician
  • Orlando, FL
  • NPI 1679995245
  Medicare reassignment
• Jorge Gomez, MD

  • Cardiovascular Disease Physician
  • Lake Mary, FL
  • NPI 1568443356
  Medicare reassignment

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1831421403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S INTERNATIONAL PKWY",
            "address_2": "1451",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461694",
            "telephone_number": "407-333-9888",
            "fax_number": "407-333-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S INTERNATIONAL PKWY",
            "address_2": "1451",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461694",
            "telephone_number": "407-333-9888",
            "fax_number": "407-333-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE GOMEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ AMADOR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "407-333-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049702900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oyindamola Jones, OTR/L
• Tahliq Jones
• Tiffany Dyann Jones, PHYSICIAN ASSISTANT
• Jonathon Logan Jordan
• Vanessa Jordan
• Jorge O Diaz MD PA
• Eustacia Joseph, LCSW
• Nadia Joseph
• Jehan Jouda, RPH
• Sophia Joyner

• Cardiovascular Disease Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.