Active NPI
Rex L Gomez, M.D.
- Gastroenterology Physician
- Rockledge, FL
National Provider Identifier
1891745147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME56227
- Practice address
- 1273 Florida Ave S
Rockledge, FL 32955-2485 - Phone
- (321) 690-0002
- Fax
- (321) 632-1358
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME56227 | FL | Primary |
Addresses
Primary practice location
1273 Florida Ave S
Rockledge, FL 32955-2485
Mailing address
1273 Florida Ave S
Rockledge, FL 32955-2485
Phone (321) 690-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044214300 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME56227 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Space Coast Medical Associates LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1558329581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1891745147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1273 FLORIDA AVE S",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552485",
"telephone_number": "321-690-0002",
"fax_number": "321-632-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1273 FLORIDA AVE S",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552485",
"telephone_number": "321-690-0002",
"fax_number": "321-632-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "REX",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME56227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044214300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.