Individual
DR. MARTIN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 W 68TH ST STE 127, HIALEAH, FL 33016-5449
(305) 558-0765
(305) 558-0768
Mailing address
9761 NW 28TH TER, DORAL, FL 33172-1339
(305) 790-5673
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19902
PR
208D00000X
General Practice Physician
Primary
ACN1098
FL
390200000X
Student in an Organized Health Care Education/Training Program
14316-I
PR
Other
Enumeration date
10/25/2016
Last updated
10/15/2018
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