# GUSTAVO VALLEJO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174325559
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME172712 | FL | Yes |
| 207R00000X | Internal Medicine Physician | ME172712 | NULL | — |
| 207R00000X | Internal Medicine Physician | ME172712 | ZZ | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME172712 | FL | Yes |
| 208D00000X | General Practice Physician | ME172712 | NULL | — |
| 208D00000X | General Practice Physician | ME172712 | ZZ | — |

## Other

- **Enumeration date:** 03/26/2025
- **Last updated:** 04/08/2026