Gustavo Forteza MD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME85628 Issued in FL

Legal business name

GUSTAVO FORTEZA MD PA

Practice address

10550 NW 77TH CT Ste 308
Hialeah Gardens, FL 33016-2072

Phone

(305) 863-2233

Fax

(305) 504-8813

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo Forteza, MDNPI 1770569196

Title

Ceo

Phone

(305) 992-7321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gustavo Forteza, M.D.

  • General Practice Physician
  • Hialeah Gardens, FL
  • NPI 1770569196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1205190691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 SW 143RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863035",
            "telephone_number": "305-889-4978",
            "fax_number": "305-504-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 308",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162072",
            "telephone_number": "305-863-2233",
            "fax_number": "305-504-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO FORTEZA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "FORTEZA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-992-7321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME85628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Grover, O.D.
• Orelvis Guerra Pedraza
• Margarita Guerra
• Osvaldo Pineiro Guerrero, LMT
• Alfredo S Guillen, DO
• Beatriz Gutierrez, APRN
• Jose G Gutierrez
• Kelly Gutierrez, LDO
• Healing Hands Health Care, Inc.
• Healing Minds Rehab, LLC

• Clinic/Center in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.