Provider Demographics
NPI:1295747772
Name:ALE-CASTRO, MARIA GABRIELA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:GABRIELA
Last Name:ALE-CASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9111 PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3159
Mailing Address - Country:US
Mailing Address - Phone:305-756-6110
Mailing Address - Fax:305-759-1255
Practice Address - Street 1:9111 PARK DR
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-3159
Practice Address - Country:US
Practice Address - Phone:305-756-6110
Practice Address - Fax:305-759-1255
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88601207RI0200X
FL207RI0200X207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272478200Medicaid
FLU32572Medicare UPIN
U3257YMedicare PIN