Provider Demographics
NPI:1073579959
Name:PELAEZ, GLORIA DEL CARMEN (MD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:DEL CARMEN
Last Name:PELAEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18578 SW 50TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-6243
Mailing Address - Country:US
Mailing Address - Phone:305-803-4521
Mailing Address - Fax:
Practice Address - Street 1:7900 NW 27TH AVE STE 50
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4909
Practice Address - Country:US
Practice Address - Phone:305-758-0591
Practice Address - Fax:305-836-5445
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0078537208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics