Suira Gomez, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA48277 Issued in FL

Practice address

9785 Crosshill Blvd # 108
Jacksonville, FL 32222-5823

Phone

(904) 772-6522

NPI assigned

Apr 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Suira Murillo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1932842069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 GROVE HILL LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322221556",
            "telephone_number": "954-512-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9785 CROSSHILL BLVD # 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225823",
            "telephone_number": "904-772-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SUIRA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-17",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "48277",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA48277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA 48277",
            "identifier": "MA48277",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUIRA",
            "last_name": "MURILLO",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madai Alina Gomez, PA
• Margaret Fajura Gomez
• Mariaisys Gomez, APRN
• Oscar Angel Gomez
• Sarah J Gomez, APRN
• Victoria Gomez, MD
• Whitney Salem Gomez, ARNP
• Gomezcare Inc
• Andrea Geleni Gongora
• Nadia Malani Gonsalves

• Mechanotherapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.