Doctor Name: | GILDA M DE LA CALLE |
NPI Number: | 1174622682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME90679 |
Business Practice Address: | 1435 W 49th Pl Suite 400b Hialeah, FL - 330123197 |
Business Phone Number: | 3058235730 |
Business Fax Number: | 3058235732 |
Mailing Address: | 421 Sw 107th Ave, MIAMI |
State: | FL |
Postal Code: | 331741433 |
Phone Number: | 3058235730 |
Fax Number: | 3058235732 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 09/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME90679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |