DR. DOMINGO GOMEZ M.D. NPI 1023040243

NPI Information

NPI: 1023040243
Provider Name: DR. DOMINGO GOMEZ, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
415 W 49TH ST STE 1
HIALEAH, FL
ZIP 33012
Phone: (305) 364-3404
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DR. Domingo Gomez, M.D. is an adult medicine family medicine in Hialeah, FL. The provider is definition to come. DR. Domingo Gomez, M.D. NPI is 1023040243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 W 49TH ST STE 1
HIALEAH, FL
ZIP 33012-637
Phone: (305) 364-3404
Fax: (305) 364-3433

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	ME0029637	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D63291	MEDICARE UPIN	FLORIDA
2	255666900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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