Provider Demographics
NPI:1942183595
Name:GOMEZ COUTO, ARNOLD (PA)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:GOMEZ COUTO
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10346 NW 29TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-1152
Mailing Address - Country:US
Mailing Address - Phone:786-201-2955
Mailing Address - Fax:
Practice Address - Street 1:10346 NW 29TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-1152
Practice Address - Country:US
Practice Address - Phone:786-201-2955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2635PA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant