Provider Demographics
NPI:1972793354
Name:ALMONTE-GOMEZ, CARLOS ARTURO (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ARTURO
Last Name:ALMONTE-GOMEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17120 ROYAL PALM BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2310
Mailing Address - Country:US
Mailing Address - Phone:954-217-1221
Mailing Address - Fax:
Practice Address - Street 1:17120 ROYAL PALM BLVD STE 3
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-2310
Practice Address - Country:US
Practice Address - Phone:954-217-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104086207Q00000X
NY245431207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY69FP07D111OtherMEDICARE
NY02910272Medicaid