Provider Demographics
NPI:1538134853
Name:ISRAEL GALTES MD PA
Entity Type:Organization
Organization Name:ISRAEL GALTES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GALTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-674-3888
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
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?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268374100Medicaid
FL268374100Medicaid
FLK4987Medicare PIN