Provider Demographics
NPI:1053822791
Name:GOMEZ, AMERICA KARINA (MH ARNP)
Entity Type:Individual
Prefix:
First Name:AMERICA
Middle Name:KARINA
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:MH ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-7808
Mailing Address - Country:US
Mailing Address - Phone:918-636-7230
Mailing Address - Fax:
Practice Address - Street 1:3750 W 16TH AVE STE 126U
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4645
Practice Address - Country:US
Practice Address - Phone:305-557-3444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2357939363LP0808X
AK138223363LP0808X
FL9426070363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health