| Gilda Maria De La Calle Md Pa | |
|
1790 W 49th St Suite 303 Hialeah FL 33012-2992 | |
| (305) 823-5730 | |
| (305) 823-5732 |
| Full Name | Gilda Maria De La Calle Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 1790 W 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Gilda Maria De La Calle (PRESIDENT) |
| Authorized Official Contact | 3058235730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilda Maria De La Calle Md Pa 1435 W 49th Pl Ste 400b Suite 400b Hialeah FL 33012-3107 Ph: (305) 823-5730 | Gilda Maria De La Calle Md Pa 1790 W 49th St Suite 303 Hialeah FL 33012-2992 Ph: (305) 823-5730 |
| NPI Number | 1386743896 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 1254391592 |
|---|---|
| Medicare Enrollment ID | O20041012001027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386743896 | NPI | - | NPPES |
| 270053100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME90679 (Florida) | Primary |
| Provider Name | Gilda M De La Calle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174622682 PECOS PAC ID: 9234199571 Enrollment ID: I20041012001200 |
| Provider Name | Ana L Balcazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134402209 PECOS PAC ID: 1456598739 Enrollment ID: I20130503000293 |
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