Active NPI
Gustavo Isaac, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- ME65335
- Practice address
- 2001 W 68TH St
Hialeah, FL 33016-1801 - Phone
- (305) 822-6914
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | ME65335 | FL | Primary |
Addresses
Primary practice location
2001 W 68TH St
Hialeah, FL 33016-1801
Mailing address
1500 San Remo Ave
Suite 280
Coral Gables, FL 33146-3043
Phone (305) 665-4614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252645000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5927 SW 70 St
439031 2ND Floor
Miami, FL 33143-9998
9200 S Dadeland Blvd
Suite 209
Miami, FL 33156-2707
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME65335 | FL | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Pathology Services, PA | Current | Accepting new patients | |
| Palmetto Pathology Services PA | Current | Accepting new patients | |
| Davjen Pathology Consultants | Past | Accepting new patients |
Locations
1500 San Remo Ave
Ste 280
Coral Gables, FL 33146
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Florida Pathology Services
- Anatomic Pathology & Clinical Pathology Physician
- Hialeah, FL
- NPI 1356398499
-
dba Florida Pathology Services
- Anatomic Pathology & Clinical Pathology Physician
- Coral Gables, FL
- NPI 1366735698
-
- Anatomic Pathology & Clinical Pathology Physician
- Miami, FL
- NPI 1144332289
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1689614620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SAN REMO AVE",
"address_2": "SUITE 280",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331463043",
"telephone_number": "305-665-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 68TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161801",
"telephone_number": "305-822-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAAC",
"first_name": "GUSTAVO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "FL",
"license": "ME65335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252645000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.