Doctor Name: | DR. EMILIO J GOMEZ-MADRAZO |
NPI Number: | 1033174644 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME67905 |
Business Practice Address: | 6280 Sunset Dr Ste 408 South Miami, FL - 331434860 |
Business Phone Number: | 3054417999 |
Business Fax Number: | 3054418020 |
Mailing Address: | 6280 Sunset Dr Ste 408, SOUTH MIAMI |
State: | FL |
Postal Code: | 331434860 |
Phone Number: | 3054417999 |
Fax Number: | 3054418020 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 02/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | ME67905 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |