Healthcare Provider Details

I. General information

NPI: 1700600566
Provider Name (Legal Business Name): DR GG'S SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 NW 33RD ST UNIT 103
DORAL FL
33172-1005
US

IV. Provider business mailing address

10450 NW 33RD ST UNIT 103
DORAL FL
33172-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-519-1833
  • Fax:
Mailing address:
  • Phone: 305-519-1833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DURNES GARCIA
Title or Position: OWNER
Credential:
Phone: 305-519-1833