Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jorge Manuel Gomez Vizcarra, MD

Individual provider General Practice Physician · NPI 1366911471

Jorge Manuel Gomez Vizcarra, MD is a General Practice in Port St Lucie, Florida. Qualified in 1981, 45 years ago. Practices with Access Health Care Physicians LLC, a 177-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
45
Licensed in
FL, PR
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 SW Saint Lucie West Blvd Ste 209
Port St Lucie, FL 34986-1735
Phone: (772) 204-8889
Fax: (772) 204-8895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 Se Hillmoor Dr Ste A-109, Port Saint Lucie, FL 34952-7545 — (772) 212-7049

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1356 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 21111 (PR)

Record details

NPI number1366911471
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 19, 2018
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Access Health Care Physicians Llc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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