Dr Jackeline T Gomez-jorge, MD | |
401 Miracle Mile, Suite 103, Coral Gables, FL 33134 | |
(888) 211-9355 | |
Not Available |
Full Name | Dr Jackeline T Gomez-jorge |
---|---|
Gender | Female |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 401 Miracle Mile, Coral Gables, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316940612 | NPI | - | NPPES |
35884 | Other | FL | BLUE SHIELD |
179079 | Other | FL | JACKSON MEMORIAL |
2594153-00 | Medicaid | FL | |
272922 | Other | FL | AVMED |
5020703 | Other | FL | AETNA |
6643476 | Other | FL | CIGNA |
48767 | Other | FL | NEIGHBORHOOD HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | ME-66752 (Florida) | Primary |
Entity Name | Palm Access Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871806539 PECOS PAC ID: 0840487609 Enrollment ID: O20101207000377 |
Mailing Address | Practice Location Address |
---|---|
Dr Jackeline T Gomez-jorge, MD 401 Miracle Mile, Suite 103, Coral Gables, FL 33134 Ph: (888) 211-9355 | Dr Jackeline T Gomez-jorge, MD 401 Miracle Mile, Suite 103, Coral Gables, FL 33134 Ph: (888) 211-9355 |
Dr. Rommel German Chiriboga Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-689-5555 | |
Dr. Anamary Quiros Mesa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1545 San Remo Ave, Coral Gables, FL 33146 Phone: 305-403-4930 Fax: 305-403-4940 | |
Dr. Monica Nicole Diaz-kanelidis, MD Radiology Medicare: Medicare Enrolled Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-689-5555 | |
Graciela M. Ruiz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 S Douglas Rd, Dept. Of Radiology, Coral Gables, FL 33134 Phone: 305-445-8461 Fax: 305-529-6797 | |
Dr. Laurence Evan Reitman, Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-689-5555 | |
Dr. Robert Mangasarian, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5000 University Dr, Coral Gables, FL 33146 Phone: 786-308-2301 Fax: 786-308-2304 |