Pena-Lagrave, Gustavo Emilio

Pena-Lagrave, Gustavo Emilio is an individual health care provider with primary practice located at 18610 Nw 87Th Ave Ste 101 , Hialeah FL 33015-3519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pena-Lagrave, Gustavo Emilio can be contacted via phone (305) 829-5000.

Contact Information

Primary practice address
18610 Nw 87Th Ave Ste 101 Hialeah FL 33015-3519
Phone: (305) 829-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME141476 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1427216571
LBN Legal business name Pena-Lagrave, Gustavo Emilio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2008
Last updated Nov 2nd, 2021 - about 5 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.

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