Dr. Manuel J. Gomez
- Gender: Male
- Sole propriator: No
- NPI: 1245274232
Dr. Manuel J. Gomez MD
Pediatrician
He is located at 91550 Overseas Highway Suite 209 in Tavernier, FL 33070. Can help patients with the following: Anencephaly, Asthma, Autism, Pinworm Infection, Rickets, Upper Respiratory Infection (URI). His National Provider Identifier (NPI) number is 1245274232. Appointment can be made via the phone number (305) 853-0558. He is affiliated with 1 practices.
Conditions treated
Dr. Manuel Joaquin Gomez, being an pediatrician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Manuel J. Gomez.
- Abdominal Pain
- Allergic Reaction
- Anemia
- Anencephaly
- Asthma
- Autism
- Bee and Wasp Stings
- Birth Defects
- Bronchitis
- Cerebral Palsy (CP)
- Childhood Behavioral and Emotional Disorders
- Childhood Obesity
- Chronic Cough
- Cleft Palate and Cleft Lip
- Colic
- Common Cold
- Croup
- Developmental Delays
- Down Syndrome
- Dyslexia
- Eczema
- Edwards Syndrome
- Enuresis
- Fetal Alcohol Syndrome (FAS)
- Fever
- Food Poisoning
- Fragile X Syndrome (FXS)
- General Care
- Hay Fever
- Head Lice
- Headache
- Hives
- Infant Care
- Influenza
- Jaundice
- Kawasaki Disease
- Learning Disability
- Migraine
- Muscular Dystrophy
- Nausea and Vomiting
- Noonan Syndrome
- Parenting
- Pervasive Developmental Disorders (PDD)
- Phenylketonuria (PKU)
- Pinworm Infection
- Prescription Refill
- Reye Syndrome
- Rickets
- Sinusitis
- Skin Rash
- Sore Throat
- Speech Disorders
- Stuttering
- Sudden Infant Death Syndrome (SIDS)
- Tourette Syndrome
- Turner Syndrome
- Upper Respiratory Infection (URI)
- Urinary Tract Infection (UTI)
- Williams Syndrome
- Wilson-Turner Syndrome
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Manuel J. Gomez as in-network for the following 2026 plans.
Health plans
Florida Blue (BlueCross BlueShield FL)
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 33 plans from Florida Blue (BlueCross BlueShield FL)
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) | PPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) | PPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueOptions Bronze 24J01-06 (Rewards) | PPO · Bronze | Preferred | Accepting new patients |
| BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) | PPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) | PPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) | PPO · Gold | Preferred | Accepting new patients |
| BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) | PPO · Gold | Preferred | Accepting new patients |
| BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) | PPO · Gold | Preferred | Accepting new patients |
| BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) | PPO · Platinum | Preferred | Accepting new patients |
| BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) | PPO · Platinum | Preferred | Accepting new patients |
| BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) | PPO · Platinum | Preferred | Accepting new patients |
| BlueOptions Silver 24J01-03 ($10 Labs / Rewards) | PPO · Silver | Preferred | Accepting new patients |
| BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) | PPO · Silver | Preferred | Accepting new patients |
| BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) | PPO · Silver | Preferred | Accepting new patients |
| BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| BlueSelect Bronze 24L01-01 (Rewards) | EPO · Bronze | Preferred | Accepting new patients |
| BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) | EPO · Gold | Preferred | Accepting new patients |
| BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards) | EPO · Gold | Preferred | Accepting new patients |
| BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) | EPO · Gold | Preferred | Accepting new patients |
| BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards) | EPO · Gold | Preferred | Accepting new patients |
| BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) | EPO · Platinum | Preferred | Accepting new patients |
| BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) | EPO · Platinum | Preferred | Accepting new patients |
| BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) | EPO · Platinum | Preferred | Accepting new patients |
| BlueSelect Silver 1443 ($10 Labs / Rewards) | EPO · Silver | Preferred | Accepting new patients |
| BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards) | EPO · Silver | Preferred | Accepting new patients |
| BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards) | EPO · Silver | Preferred | Accepting new patients |
| BlueSelect Silver 1456 ($50 PCP Visits / Rewards) | EPO · Silver | Preferred | Accepting new patients |
| BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards) | EPO · Silver | Preferred | Accepting new patients |
Wellpoint
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 10 plans from Wellpoint
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Catastrophic (+ Incentives) | HMO · Catastrophic | Participating | Accepting new patients |
| Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO · Silver | Participating | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Manuel J. Gomez is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Manuel J. Gomez is enrolled to bill Medicare as a Practitioner - Pediatric Medicine .
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Sunovion Pharmaceuticals | $100 |
| GlaxoSmithKline | $72 |
| Arbor Pharmaceuticals | $48 |
Other
| Food and Beverage | $379 |
Looking for more Pediatricians?
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Questions & Answers
Does Dr. Manuel Joaquin Gomez have affiliation with practices?
Dr. Manuel Joaquin Gomez is affiliated with Miami Lakes Rehab Services.
Does Dr. Manuel Joaquin Gomez accept insurance?
Dr. Manuel Joaquin Gomez is listed in-network for 43 ACA Marketplace (Obamacare/HealthCare.gov) plans from Florida Blue (BlueCross BlueShield FL), Wellpoint. See the Marketplace plans section for details.
Where can you meet with Dr. Manuel Joaquin Gomez?
Dr. Manuel Joaquin Gomez's office is located at 91550 Overseas Highway Suite 209 in Tavernier, FL 33070.
What conditions does Dr. Manuel Joaquin Gomez treat?
Dr. Manuel Joaquin Gomez provides treatment for Anencephaly, Asthma, Autism, Pinworm Infection, Rickets, Upper Respiratory Infection (URI). For the full list see this list.