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NPI Code Detail

MEDICARE: SANDRA GOMEZ

MEDICARE:   SANDRA  GOMEZ
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
1111NP0017XPediatric ChiropractorNOT AVAILABLENY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CH11428OTHERFLCH LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568768869
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA GOMEZ
Provider Business Mailing Address
First Line : 7977 NW 116TH AVE
Second Line :
City : DORAL
State : FL
Zip : 33178-2533
Country : US
Telephone Number : 305-960-7073
Fax Number :
Provider Business Practice Location Address
First Line : 2720 SW 97TH AVE STE C107
Second Line :
City : MIAMI
State : FL
Zip : 33165-2677
Country : US
Telephone Number : 305-960-7073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2011
Last Update Date : 11/11/2025

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Directions to “ SANDRA GOMEZ ” Practice Location

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