Provider Demographics
NPI:1780949867
Name:GOLDMAN-HUERTAS, EMILY ANN (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANN
Last Name:GOLDMAN-HUERTAS
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 1:3056 E DERBYSHIRE RD FL 1
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2727
Mailing Address - Country:US
Mailing Address - Phone:216-659-9893
Mailing Address - Fax:
Practice Address - Street 1:ROAD #3 KM 8.3
Practice Address - Street 2:DEPARTAMENTO DE EMERGENCIA 1ST FLOOR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-757-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH126317207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine