Doctor Name: | DR. GUSTAVO G LEDO-SANCHEZ |
NPI Number: | 1063460756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0053137 |
Business Practice Address: | 2387 West 68 St Suite 201 Hialeah, FL - 33016 |
Business Phone Number: | 3055578486 |
Business Fax Number: | 3055571025 |
Mailing Address: | 2387 W 68th St Ste 201, HIALEAH |
State: | FL |
Postal Code: | 330166890 |
Phone Number: | 3055578486 |
Fax Number: | 3055570110 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0053137 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |