DR. MANUEL JOAQUIN GOMEZ (NPI# 1245274232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245274232 |
| Entity Type | Individual |
| Full Name | DR. MANUEL JOAQUIN GOMEZ |
| Credential | MD |
| Practice Address |
13903 Nw 67th Ave Ste 250 Miami Lakes FL 33014-2938 |
| Mailing Address |
8750 Nw 36th St Ste 300 Doral FL 33178-2499 |
| Practice Telephone | 3052662929 |
| Practice Fax Number | 3056421582 |
| Mailing Telephone | 3052621610 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME92538 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021675800 | 05 | |
| FL | MEDICAL DOCTOR | ME92538 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992136634 | Manuel Gomez IIi | Occupational Therapist | 2922 N Rose St, Harlingen, TX 78550-3629 | 2013-12-05 |
| 1285876409 | Manuel O. Gomez | Counselor | 141 E Central Ave Ste 340, Winter Haven, FL 33880 | 2009-04-02 |
| 1215139944 | Manuel Gomez | Obstetrics & Gynecology | Carretera 3 Km 85.6 Barrio Candelero Plaza Del Mar, Humacao, PR 00791 | 2007-06-04 |
| 1841293636 | Manuel Antonio Gomez | Pathology | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2005-05-24 |
| 1831790880 | Manuel Gomez | Case Manager/Care Coordinator | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-11-05 |
| 1649882796 | Manuel D Gomez | Pharmacist | 151 N State St, Chicago, IL 60601-3601 | 2020-08-20 |
| 1336783422 | Manuel Acosta Gomez | Counselor | 1100 N D St, San Bernardino, CA 92410-3524 | 2019-10-31 |
| 1952487688 | Manuel A Gomez | Family Medicine | 1082 E Brandon Blvd, Brandon, FL 33511-5509 | 2006-10-27 |
| 1417051418 | Manuel Gomez | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-09-11 |
| Street Address |
13903 NW 67TH AVE STE 250 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33014-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992748149 | Jose Ernesto Betancourt | Internal Medicine | 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 | 2006-06-14 |
| 1023432507 | Medplan Clinic, LLC | Internal Medicine | 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 | 2014-02-05 |
| 1891995098 | Jose E Betancourt Md Pa | Internal Medicine | 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273510 | Coffeestone Holdings | Pediatrics | 14505 Commerce Way Ste 800, Miami Lakes, FL 33016-1599 | 2018-11-13 |
| 1407181456 | Enrique B Dieguez | Pediatrics | 15507 -15 Nw 67th Ave, Miami Lakes, FL 33014-2174 | 2009-10-08 |
| 1861544207 | Merryl Elaine Dweck | Pediatrics | 7480 Fairway Drive, Suite 202, Miami Lakes, FL 33014 | 2007-01-17 |
| 1619900610 | Elvira J Rives | Pediatrics | 14505 Commerce Way, Suite 800, Miami Lakes, FL 33016 | 2006-07-10 |
| 1750350765 | Robert Novo | Pediatrics | 7480 Fairway Dr, Suite 208, Miami Lakes, FL 33014-6879 | 2006-03-14 |
| 1972573319 | Mayra Capote | Pediatrics | 14400 Nw 77th Ct Ste 102, Miami Lakes, FL 33016-1590 | 2006-01-26 |
| 1225027782 | Mario I Quiros | Pediatrics | 15507 Nw 67th Ave, Miami Lakes, FL 33014-2108 | 2005-10-18 |
| 1427691989 | Samuels Pediatrics Florida, Pllc | Pediatrics | 14505 Commerce Way Ste 800, Miami Lakes, FL 33016-1599 | 2019-10-28 |
| 1861059248 | Miami Lakes Pediatrics Pllc | Pediatrics | 14400 Nw 77th Ct Ste 102, Miami Lakes, FL 33016-1590 | 2019-05-21 |
| 1043665169 | Justin Parker Jeter | Pediatrics | 15507 Nw 67th Ave, Miami Lakes, FL 33014-2108 | 2016-04-26 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33014 |
Please comment or provide details below to improve the information on DR. MANUEL JOAQUIN GOMEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.