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Export Provider Record NPI 1295797645
Ildefonso GomezM.D.
Active
NPI Number1295797645
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1295797645
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-04-03
Last Updated2026-03-03
Mailing Address6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
United States
Phone: (305) 500-2000 | Fax: (305) 500-2145
📍 View Map
Primary Practice Address7101 W Mcnab Rd Ste 101
Tamarac, FL 33321-5351
United States
Phone: (954) 722-5600 | Fax: (855) 252-2845
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineFLME 90272
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About NPI 1295797645

Ildefonso Gomez M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1295797645. The primary specialty listed is Internal Medicine. The provider is located in Tamarac, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1295797645?

NPI 1295797645 belongs to Ildefonso Gomez M.D., a Internal Medicine in Tamarac, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1295797645 active?

The current status of NPI 1295797645 in the NPPES registry is Active. The record was last updated on 2026-03-03.

What specialty is NPI 1295797645?

NPI 1295797645 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1295797645?

You can verify NPI 1295797645 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1295797645?

The primary practice address on file for NPI 1295797645 is 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1295797645 issued?

NPI 1295797645 was first issued (enumerated) on 2006-04-03. The NPPES record was last updated on 2026-03-03.

Practice Location Map

Ildefonso Gomez is located at 7101 W Mcnab Rd Ste 101, Tamarac, FL. Use the map below to find directions or verify the practice location.

📍 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ildefonso Gomez. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1295797645. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal MedicineME 90272FL
Data Verified from CMS NPPES Last synced: 2026-08-03 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162