Provider Demographics
NPI:1326523341
Name:MACHADO, GILBERTO (ARNP, FNP, MSN)
Entity Type:Individual
Prefix:
First Name:GILBERTO
Middle Name:
Last Name:MACHADO
Suffix:
Gender:M
Credentials:ARNP, FNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 NW 36TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4822
Mailing Address - Country:US
Mailing Address - Phone:786-389-8965
Mailing Address - Fax:
Practice Address - Street 1:242 NW 36TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4822
Practice Address - Country:US
Practice Address - Phone:786-389-8965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9441092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily