Gomara, Roberto Enrique
Gomara, Roberto Enrique is an sole proprietor health care provider with primary practice located at 3200 Sw 60Th Ct Suite #204, Miami FL 33155-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Gomara, Roberto Enrique can be contacted via phone (305) 661-6110.Contact Information
Primary practice address
3200 Sw 60Th Ct Suite #204
Miami FL 33155-4000
Phone: (305) 661-6110
Fax: (305) 662-5882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | ME93220 | Florida |
Profile Details
| NPI number | 1831156066 |
|---|---|
| LBN Legal business name | Gomara, Roberto Enrique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Mar 14th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831156066 | NPPES |
| Florida | MEDICAID | 274283700 |
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