Individual provider Active NPI

Gustavo Delgado Brito

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1053766717
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9334048 Issued in FL
Practice address
777 E 25TH St Ste 312
Hialeah, FL 33013-3849
Phone
(305) 392-0380
Fax
(305) 603-9683
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9334048 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 312
Hialeah, FL 33013-3849

Mailing address

6980 NW 186TH St # A520
Hialeah, FL 33015-3171
Phone (305) 319-9105

Other names 1

  • Gustavo Delgado Brito Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805001190 FL Practitioner - Nurse Practitioner 5890089387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9334048FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R. Abreu M.D., P.a. CurrentSince May 4, 2016 Accepting new patients

Locations

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

2801 NW 79th Ave
Ste 404
Miami, FL 33122
Phone (786) 281-6917

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1053766717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 NW 186TH ST # A520",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153171",
            "telephone_number": "305-319-9105",
            "fax_number": "787-801-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 312",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133849",
            "telephone_number": "305-392-0380",
            "fax_number": "305-603-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO BRITO",
        "first_name": "GUSTAVO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9334048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUSTAVO",
            "last_name": "DELGADO BRITO",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.