Organization Name: | GILDA MARIA DE LA CALLE MD PA |
NPI Number: | 1386743896 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GILDA MARIA DE LA CALLE (PRESIDENT) |
Mailing Address: | 1790 W 49th St Suite 303 Hialeah |
State: | FL US |
Postal Code: | 330122992 |
Phone Number: | 3058235730 |
Fax Number: | 3058235732 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 12/21/2010 |
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: |