Organization
GUSTAVO FORTEZA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO FORTEZA MD (CEO)
(305) 992-7321
Entity
Organization
Contact information
Practice address
10550 NW 77TH CT STE 308, HIALEAH GARDENS, FL 33016-2072
(305) 863-2233
(305) 504-8813
Mailing address
10521 SW 143RD AVE, MIAMI, FL 33186-3035
(305) 889-4978
(305) 504-8813
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME85628
FL
Other
Enumeration date
06/29/2012
Last updated
04/29/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up