Forteza, Gustavo
Forteza, Gustavo is an sole proprietor health care provider with primary practice located at 10550 Nw 77Th Ct Ste 308 , Hialeah Gardens FL 33016-2072. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Forteza, Gustavo can be contacted via phone (305) 863-2233.Contact Information
Primary practice address
10550 Nw 77Th Ct Ste 308
Hialeah Gardens FL 33016-2072
Phone: (305) 863-2233
Fax: (305) 504-8813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME0085628 | Florida |
Profile Details
| NPI number | 1770569196 |
|---|---|
| LBN Legal business name | Forteza, Gustavo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Apr 29th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770569196 | NPPES |
| Florida | MEDICAID | 258912500 | |
| Florida | Other | 29018 |
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