| Gustavo a Batista MD PA | |
|
2301 N University Dr Ste 207 Pembroke Pines FL 33024-3617 | |
| (954) 641-8571 | |
| Not Available |
| Full Name | Gustavo a Batista MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 2301 N University Dr Ste 207, Pembroke Pines, Florida |
| Authorized Official Name and Position | Gustavo Alberto Batista (OWNER) |
| Authorized Official Contact | 9546418571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo a Batista MD PA 2301 N University Dr Ste 207 Pembroke Pines FL 33024-3617 Ph: (954) 641-8571 | Gustavo a Batista MD PA 2301 N University Dr Ste 207 Pembroke Pines FL 33024-3617 Ph: (954) 641-8571 |
| NPI Number | 1437528247 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 09/25/2026 |
| Certification Date | 09/25/2026 |
| Medicare PECOS PAC ID | 2466754353 |
|---|---|
| Medicare Enrollment ID | O20160108002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437528247 | NPI | - | NPPES |
| 130580700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME122962 (Florida) | Primary |
| Provider Name | Gustavo a Batista |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578710174 PECOS PAC ID: 5496891236 Enrollment ID: I20160108002203 |
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