Gustavo Emilio Pena-Lagrave
Gustavo Emilio Pena-Lagrave is a General Practice in Hialeah, Florida. Qualified in 2002, 24 years ago. Practices with American Current Care PA, a 549-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 24
- Licensed in
- FL
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
18610 NW 87th Ave Ste 101Hialeah, FL 33015-3519
Phone: (305) 829-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 110 Irving St Nw, Washington, DC 20010-3017 — (202) 877-7227
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence ME141476 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1427216571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 27, 2008 |
| Last updated in NPPES | November 2, 2021 |
| Certification date | October 22, 2021 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | American Current Care Pa — 549 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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