Provider Demographics
NPI:1730121229
Name:HUERTA, MILAGROS G (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAGROS
Middle Name:G
Last Name:HUERTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MILAGROS
Other - Middle Name:GLORIA
Other - Last Name:HUERTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2820 NE 214TH ST STE 908
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1270
Mailing Address - Country:US
Mailing Address - Phone:305-935-2441
Mailing Address - Fax:855-834-7460
Practice Address - Street 1:2999 NE 191ST ST STE 300
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3115
Practice Address - Country:US
Practice Address - Phone:305-935-2441
Practice Address - Fax:855-834-7460
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME720382080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274083400Medicaid
FL30956Medicare ID - Type Unspecified
FL274083400Medicaid