Provider Demographics
NPI:1558652461
Name:GOMEZ, ISABEL (MD)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1951 NW SOUTH RIVER DR
Mailing Address - Street 2:APT 1101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-2784
Mailing Address - Country:US
Mailing Address - Phone:617-412-0820
Mailing Address - Fax:
Practice Address - Street 1:8740 N KENDALL DR
Practice Address - Street 2:SUITE NO 208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2212
Practice Address - Country:US
Practice Address - Phone:305-595-1594
Practice Address - Fax:305-595-9708
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2015-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 116711207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease