Provider Demographics
NPI:1386370674
Name:GOMEZ RODRIGUEZ, CAROLINA (MD)
Entity type:Individual
Prefix:MS
First Name:CAROLINA
Middle Name:
Last Name:GOMEZ RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 NW 12 AVENUE
Mailing Address - Street 2:WEST WING 279, LC: R-109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-585-8178
Mailing Address - Fax:305-585-5743
Practice Address - Street 1:1611 NW 12 AVENUE
Practice Address - Street 2:WEST WING
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-585-8178
Practice Address - Fax:305-585-5743
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program