| Angela Gomez Md Pa | |
|
747 Ponce De Leon Blvd Suite 606 Coral Gables FL 33134-2074 | |
| (305) 444-7779 | |
| (305) 444-7290 |
| Full Name | Angela Gomez Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 747 Ponce De Leon Blvd, Coral Gables, Florida |
| Authorized Official Name and Position | Angela A Gomez (PRESIDENT) |
| Authorized Official Contact | 3054447779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Gomez Md Pa 747 Ponce De Leon Blvd Suite 606 Coral Gables FL 33134-2074 Ph: (305) 444-7779 | Angela Gomez Md Pa 747 Ponce De Leon Blvd Suite 606 Coral Gables FL 33134-2074 Ph: (305) 444-7779 |
| NPI Number | 1679805998 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 05/01/2013 |
| Medicare PECOS PAC ID | 8022134022 |
|---|---|
| Medicare Enrollment ID | O20100928000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679805998 | NPI | - | NPPES |
| 262760400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME82920 (Florida) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Angela A Gomez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720164064 PECOS PAC ID: 6709887672 Enrollment ID: I20070118000553 |
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