Gustavo Martin Huaman, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

32599 Issued in FL

Practice address

1475 W 49TH PL
Hialeah, FL 33012-3113

Phone

(305) 558-2500

NPI assigned

Jun 27, 2012

Last updated

May 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1720342470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12565 NW 57TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763469",
            "telephone_number": "954-393-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W 49TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123113",
            "telephone_number": "305-558-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4958 Pelican Mnr",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330732422",
            "country_code": "US",
            "telephone_number": "954-707-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUAMAN",
        "first_name": "GUSTAVO",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106514",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "32599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Hricisak, PSY.D.
• Hsa Florida Physician Group Inc
• Hsa HH LLC (Hialeah Hospital)
• Hsa PGH LLC (Palmetto General Hospital)
• Chin-Yu Hsu, AA
• Nicolas Huertas, OPTICIAN
• Karen Huete
• Hugo C. Salinas MD PA
• Hugo Llanes MD PA
• Human for Life Mental Health Inc

• Physical Medicine & Rehabilitation Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.