Provider Demographics
NPI:1538403290
Name:SARRATEA-GOMEZ, MARGOT CARIDAD (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MARGOT
Middle Name:CARIDAD
Last Name:SARRATEA-GOMEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 SW 62ND AVE.
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155
Mailing Address - Country:US
Mailing Address - Phone:305-666-6511
Mailing Address - Fax:305-969-2917
Practice Address - Street 1:10101 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1808
Practice Address - Country:US
Practice Address - Phone:305-894-2938
Practice Address - Fax:305-969-2917
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1853342363LF0000X
FL1853342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily