MEDICARE: MARIA PAZ GOMEZ CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	105153	FL

General Provider Information

NPI Number	:	1538977558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA PAZ GOMEZ CMT

Provider Business Mailing Address
First Line	:	650 WEST AVE APT 2510
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-6370
Country	:	US
Telephone Number	:	786-742-6692
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3243
Country	:	US
Telephone Number	:	866-800-3858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/23/2024

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