Active NPI
Maria Virginia Gomez Padron
- General Practice Physician
- Miami Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1097
- Practice address
- 4767 NW 183Rd St
Miami Gardens, FL 33055-2933 - Phone
- (305) 266-2929
- Fax
- (305) 627-3862
- NPI assigned
- Mar 24, 2018
- Last updated
- Nov 30, 2022
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1097 | FL | Primary |
Addresses
Primary practice location
4767 NW 183Rd St
Miami Gardens, FL 33055-2933
Mailing address
15071 SW 49TH CT
Miramar, FL 33027-3600
Phone (786) 200-1270
Other practice location 1
404 Ave General Valero
Fajardo, PR 00738-3998
Phone (787) 655-0505
Other practice location 2
7858 NE 2nd Ave Fl 33138
Miami, FL 33138
Phone (786) 618-9531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4767 NW 183Rd St
Miami Gardens, FL 33055-2933
Phone (305) 266-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Marias Health and Wellness | Current | Accepting new patients | |
| Centrum Medical Holdings, LLC | Current | Accepting new patients | |
| Centrum Medical Holdings, LLC | Current | Accepting new patients | |
| Centrum Medical Centers Kendall, LLC | Current | Accepting new patients |
Locations
1801 N University Dr
Ste 101
Coral Springs, FL 33071
Phone (954) 344-8100
10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928
8844A W State Road 84
Ste G10
Davie, FL 33324
9250 NW 36th St
Ste 420
Doral, FL 33178
3690 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 833-0010
1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-2385
4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971
900 W 49th St
Ste 101
Hialeah, FL 33012
900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292
900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 801-6952
2229 Sheridan St
Hollywood, FL 33020
Phone (954) 251-2381
28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805
3138 N Federal Hwy
Lighthouse Point, FL 33064
612 S State Road 7
Margate, FL 33068
Phone (954) 535-1919
11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582
434 SW 12th Ave
Miami, FL 33130
Phone (305) 294-9292
7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270
4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337
12709 Miramar Pkwy
Miramar, FL 33027
Phone (786) 970-8010
5730 SW 74th St
Ste 200
South Miami, FL 33143
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1538714282
-
- Primary Care Clinic/Center
- Miramar, FL
- NPI 1326680968
-
- Internal Medicine Physician
- Miami, FL
- NPI 1912625153
-
- Internal Medicine Physician
- Miami, FL
- NPI 1770130619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1841795747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15071 SW 49TH CT",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273600",
"telephone_number": "786-200-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4767 NW 183RD ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330552933",
"telephone_number": "305-266-2929",
"fax_number": "305-627-3862"
}
],
"practiceLocations": [
{
"address_1": "404 Ave General Valero",
"address_purpose": "LOCATION",
"city": "Fajardo",
"state": "PR",
"postal_code": "007383998",
"country_code": "US",
"telephone_number": "787-655-0505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7858 NE 2nd Ave Fl 33138",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33138",
"country_code": "US",
"telephone_number": "786-618-9531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ PADRON",
"first_name": "MARIA",
"middle_name": "VIRGINIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.