DR. JACKELINE T GOMEZ-JORGE (NPI# 1316940612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316940612 |
| Entity Type | Individual |
| Full Name | DR. JACKELINE T GOMEZ-JORGE |
| Credential | M.D. |
| Practice Address |
401 Miracle Mile Suite 103 Coral Gables FL 33134 |
| Practice Telephone | 8882119355 |
| Mailing Telephone | 8882119355 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME-66752 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 272922 | 01 |
| FL | CIGNA | 6643476 | 01 |
| FL | JACKSON MEMORIAL | 179079 | 01 |
| FL | 2594153-00 | 05 | |
| FL | BLUE SHIELD | 35884 | 01 |
| FL | NEIGHBORHOOD HEALTH PLAN | 48767 | 01 |
| FL | AETNA | 5020703 | 01 |
| Street Address |
401 MIRACLE MILE SUITE 103 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213912 | Maria E Salmon | Counselor | 401 Miracle Mile, Suite 302, Coral Gables, FL 33134 | 2019-03-04 |
| 1730478348 | Tibbar Medical Pllc | Radiology | 401 Miracle Mile, Suite 103, Coral Gables, FL 33134 | 2011-04-04 |
| 1083843098 | Coral Gables Foot and Ankle Specialists LLC | Podiatrist | 401 Miracle Mile, Suite 310, Coral Gables, FL 33134-4930 | 2009-07-11 |
| 1962641795 | Alfredo Ramos | Developmental Therapist | 401 Miracle Mile, Suite 403, Coral Gables, FL 33134-4930 | 2009-02-18 |
| 1952540783 | Teresita D Valencia | Developmental Therapist | 401 Miracle Mile, Suite 403, Coral Gables, FL 33134-4930 | 2009-02-18 |
| 1659536043 | Diana Rosa Blanco | Dentist | 401 Miracle Mile, Suite 209, Coral Gables, FL 33134 | 2008-07-24 |
| 1851568455 | Alvaro Oscar Fernandez Carol | Dentist | 401 Miracle Mile, Suite 305, Coral Gables, FL 33134-4926 | 2008-05-13 |
| 1629243357 | Marie Judith Peggy Eyssallenne | Developmental Therapist | 401 Miracle Mile, Coral Gables, FL 33134-4930 | 2008-04-23 |
| 1467627190 | Kernique Gaelle Baton | Developmental Therapist | 401 Miracle Mile, Suite 403, Coral Gables, FL 33134-4930 | 2008-04-23 |
| 1457526188 | Maria F Ceballos Zagales | Developmental Therapist | 401 Miracle Mile, Suite 403, Coral Gables, FL 33134-4930 | 2008-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| Find all providers in zip 33134 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891916334 | Shaun Patel | Radiology | 2020 Ponce De Leon Blvd, Suite 103, Coral Gables, FL 33134-4474 | 2007-05-01 |
| 1730478348 | Tibbar Medical Pllc | Radiology | 401 Miracle Mile, Suite 103, Coral Gables, FL 33134 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100917 | Emergency and Interventional Specialists, Inc | Radiology | 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 | 2020-09-23 |
| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
| 1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
| 1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
| 1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
| 1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
| 1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
| City | CORAL GABLES |
| Zip Code | 33134 |
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| 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.