| Doctor Name: | GABRIEL D OSORIO |
| NPI Number: | 1093105199 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | |
| Business Practice Address: | 2750 Sw 37th Ave Coconut Grove, FL - 331332764 |
| Business Phone Number: | 3056424263 |
| Business Fax Number: | 3054263329 |
| Mailing Address: | 2750 Sw 37th Ave, COCONUT GROVE |
| State: | FL |
| Postal Code: | 331332764 |
| Phone Number: | 3056424263 |
| Fax Number: | 3054263329 |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 03/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |