Healthcare Provider Details

I. General information

NPI: 1538742002
Provider Name (Legal Business Name): HUGO ARMANDO DE LA UZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 W 49TH PL
HIALEAH FL
33012-3113
US

IV. Provider business mailing address

3550 NW 83RD AVE APT 403
DORAL FL
33122-1140
US

V. Phone/Fax

Practice location:
  • Phone: 305-558-2500
  • Fax:
Mailing address:
  • Phone: 787-918-4188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME179258
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: