Skip Navigation

Provider Information for 1437139292

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALFREDO F. GOMEZ CRNA

Gender: MALE

Individual NPI: 1437139292

Calendar   Last Updated:  2017-04-19
  Certification Date: 

Details

Name Value
NPI 1437139292
Enumeration Date 2006-01-18
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1986 NE 35TH CT
OAKLAND PARK, FL 33308-6255
United States

Phone: 954-253-0932 | Fax: 954-253-0932
View Map External Link
Primary Practice Address 1725 N UNIVERSITY DR 2ND FLOOR
CORAL SPRINGS, FL 33071-6089
United States

Phone: 954-227-7760 | Fax: 954-227-9975
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 302363000
Other RAILROAD MEDICARE FL 430050723
Other BCBS OF FLORIDA FL G2239
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 367500000X - Nurse Anesthetist, Certified Registered FL ARNP 2515132