Individual
FEDERICO GOROSTIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-6944
Mailing address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-6944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230858
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME116039
FL
208M00000X
Hospitalist Physician
045849
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009255300
—
FL
01
—
14RQ5
BCBS
FL
01
—
ME 116039
ME LICENSE
FL
Enumeration date
06/11/2007
Last updated
03/07/2023
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