Provider Demographics
NPI:1629135330
Name:FERRARA, HUGO M (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:M
Last Name:FERRARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2300 W 84TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5773
Mailing Address - Country:US
Mailing Address - Phone:305-512-4858
Mailing Address - Fax:305-822-8782
Practice Address - Street 1:2300 W 84TH ST STE 500
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5773
Practice Address - Country:US
Practice Address - Phone:305-512-4858
Practice Address - Fax:305-822-8782
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME52907207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL08981OtherBLUE CROSS AND BLUE SHIELD OF FLORIDA
FL08981ZMedicare PIN
FLE75957Medicare UPIN