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Provider Information for 1710994736

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

DR. ALVARO AGUSTO GOMEZ MD

Gender: MALE

Individual NPI: 1710994736

Calendar   Last Updated:  2015-08-10
  Certification Date: 

Details

Name Value
NPI 1710994736
Enumeration Date 2006-08-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 7400 SW 87 AVENUE SUITE #100
MIAMI, FL 33173
United States

Phone: 305-275-8200 | Fax: 305-274-7812
View Map External Link
Primary Practice Address 7400 SW 87 AVENUE SUITE #100
MIAMI, FL 33173
United States

Phone: 305-275-8200 | Fax: 305-274-7812
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 373339400
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RI0011X - Internal Medicine Interventional Cardiology FL ME64125