MARIO MIGUEL GOMEZ FERNANDEZ ARNP NPI 1023815925

NPI Information

  • NPI: 1023815925
  • Provider Name: MARIO MIGUEL GOMEZ FERNANDEZ, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1054 SW 145TH CT
    MIAMI, FL
    ZIP 33184
  • Phone: (786) 351-5534

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NPI Details

Mario Miguel Gomez Fernandez, ARNP is a family nurse practitioner in Miami, FL. Mario Miguel Gomez Fernandez, ARNP NPI is 1023815925. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1054 SW 145TH CT
MIAMI, FL
ZIP 33184-109
Phone: (786) 351-5534

The NPI 1023815925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2025 and was last updated on 10/7/2025.

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
1363LF0000XNurse PractitionerFamily11042458FLORIDAYes
2163W00000XRegistered NurseRN9643856FLORIDANo

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: 11/21/2025

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