MR. EDGAR ENRIQUE GOMEZ SR.


Address: 711 Nw 23rd Ave, 204, Miami, FL 33125-3298
Phone: 3055412888

MR. EDGAR ENRIQUE GOMEZ SR. (NPI# 1326088022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326088022
Entity Type Individual
Full Name MR. EDGAR ENRIQUE GOMEZ SR.
Credential BASIC X RAY TECH
Practice Address 711 Nw 23rd Ave
204
Miami
FL 33125-3298
Mailing Address 9220 Fontainebleau Blvd
503
Miami
FL 33172-4237
Practice Telephone 3055412888
Practice Fax Number 3055412879
Mailing Telephone 7865142855
Enumeration Date 2006-06-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 48679 FL Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL XRAY MACHINE OPERATOR 48679 01

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Office Location

Street Address 711 NW 23RD AVE
204
City MIAMI
State FL
Zip Code 33125-3298

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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and city

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1063815629 Gilberto Casanas Radiologic Technologist 8241 Sw 12th Ter, Miami, FL 33144-4343 2014-09-26
1932529997 Daniel Rolando Fundora Radiologic Technologist 601 Sw 57th Ave Ste C, Miami, FL 33144-3974 2014-04-17
1255680948 Norberto Agustin Oliva-trinchet Radiologic Technologist 7124 Sw 111th Pl, Miami, FL 33173-2135 2012-09-10
1134410079 Regla Trujillo Radiologic Technologist 7282 Sw 114th Pl, Miami, FL 33173-2607 2011-04-26
1972804698 Dolores Toledo Radiologic Technologist 6524 Kendale Lakes Dr, 1506, Miami, FL 33183-1812 2010-11-11
1013920073 Florida Mobile Imaging Services Inc Radiologic Technologist 3260 Nw 7th St Ste 102, Miami, FL 33125-4102 2006-08-14
1346290061 Ednor Diagnostic Corp Radiologic Technologist 2140 W Flagler St Ste 201, Miami, FL 33135-1663 2006-05-11
1174164909 Rafael Jose Bernal Radiologic Technologist 8900 N Kendall Dr, Miami, FL 33176-2118 2019-10-02
1750829248 Ricardo Alfonso Radiologic Technologist 7175 Sw 8th St Ste 212, Miami, FL 33144-4673 2017-02-06
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Competitor

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City MIAMI
Zip Code 33125

Improve Information

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Dataset Information

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.

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