Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gustavo Pantol

Individual provider Diagnostic Radiology Physician · NPI 1942594908

Gustavo Pantol is a Diagnostic Radiology in Miami, Florida. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Florida and Massachusetts.

Years since qualifying
23
Licensed in
FL, MA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1475 NW 12th Ave
Miami, FL 33136-1002
Phone: (305) 243-5512
Fax: (305) 243-4613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME112370 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 248606 (MA)

Record details

NPI number1942594908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESJuly 1, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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