Provider Demographics
NPI:1457326746
Name:GALTES, ISRAEL (MD)
Entity Type:Individual
Prefix:
First Name:ISRAEL
Middle Name:
Last Name:GALTES
Suffix:
Gender:M
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:PO BOX 901650
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33090-1650
Mailing Address - Country:US
Mailing Address - Phone:305-674-3888
Mailing Address - Fax:305-674-3388
Practice Address - Street 1:950 N KROME AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4400
Practice Address - Country:US
Practice Address - Phone:305-674-3888
Practice Address - Fax:305-674-3388
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87893207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME87893OtherSTATE MEDICAL LICENSE
FL47435OtherBLUE CROSS BLUE SHIELD NU
FL268374100Medicaid
FLH98292Medicare UPIN
FLU1805AMedicare PIN