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Provider Information for 1962927244

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

ALEXANDRA M GOMEZ

Gender: FEMALE

Individual NPI: 1962927244

Calendar   Last Updated:  2017-08-08
  Certification Date: 

Details

Name Value
NPI 1962927244
Enumeration Date 2017-08-08
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 16860 SW 137TH AVE APT 436
MIAMI, FL 33177-2472
United States

Phone: 786-355-0622 | Fax:
View Map External Link
Primary Practice Address 16860 SW 137TH AVE APT 436
MIAMI, FL 33177-2472
United States

Phone: #(786) 355-0622 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 106S00000X - Behavior Technician FL