DR. GABRIEL ANTONIO WIDI (NPI# 1639342926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639342926 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL ANTONIO WIDI |
| Other Name | DR. GABRIEL ANTONIO WIDI |
| Credential | M.D. |
| Practice Address |
777 E 25th St Suite 308 Hialeah FL 33013-3825 |
| Practice Telephone | 7865347751 |
| Practice Fax Number | 8443619351 |
| Mailing Telephone | 7865347751 |
| Mailing Fax Number | 8443619351 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME122876 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME122876 | 01 |
| Street Address |
777 E 25TH ST SUITE 308 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33013-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744272 | Manuel J Sone | Podiatrist | 777 E 25th St, Suite 302, Hialeah, FL 33013-3825 | 2005-07-21 |
| 1316427313 | Josue Alberto Moran | Registered Nurse | 777 E 25th St, Ste 516, Hialeah, FL 33013-3834 | 2018-08-19 |
| 1083155907 | Urophysicians, LLC | Urology | 777 E 25th St, Suite 304, Hialeah, FL 33013-3825 | 2017-03-10 |
| 1942657572 | Diabetes and Wound Care Network Inc | Internal Medicine | 777 E 25th St, Suite 306, Hialeah, FL 33013-3825 | 2016-05-24 |
| 1770940934 | Maria Elena Rendon De Daher | Registered Nurse | 777 E 25th St, Hialeah, FL 33013-3825 | 2016-01-19 |
| 1982061255 | Cue Pharmacy Inc | Pharmacy | 777 E 25th St, Suite 120, Hialeah, FL 33013-3825 | 2016-01-18 |
| 1336505742 | Marco Fiore Md Pa | Internal Medicine | 777 E 25th St, Hialeah, FL 33013-3825 | 2016-01-14 |
| 1316302789 | Daniel Pino Ruiz | Nurse Practitioner | 777 E 25th St, Suite 118, Hialeah, FL 33013-3825 | 2015-12-29 |
| 1730550302 | Miami Global Ob Gyn LLC | Obstetrics & Gynecology | 777 E 25th St, Unit 209, Hialeah, FL 33013-3825 | 2015-10-08 |
| 1023486735 | Jessie Trice Community Health System Inc | Clinic/Center | 777 E 25th St, Suite 316, Hialeah, FL 33013-3825 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233918 | Yudith Lazo Gonzales | Behavior Technician | 4565 East 8 Ave, Hialeah, FL 33013 | 2020-07-28 |
| 1710539481 | Paradise Social Club Adult Day Care Corp | Clinic/Center | 3810-3830 E 4th Ave, Hialeah, FL 33013 | 2019-07-12 |
| 1669968624 | Lizette Estevez De Casabuena Serrano | Behavior Technician | 270 E 43rd St, Hialeah, FL 33013 | 2018-07-02 |
| 1790276905 | Villa Rosa Iv, Inc. | Assisted Living Facility | 3051 E. 4 Avenue, Hialeah, FL 33013 | 2018-05-23 |
| 1669972865 | Cristhian Barrios | Chiropractor | 777 E 25th St Ste 306, Hialeah, FL 33013 | 2018-02-15 |
| 1538675749 | Madelin Fuentes | Licensed Practical Nurse | 522 E 25th Street, Hialeah, FL 33013 | 2017-12-26 |
| 1942724273 | Marisol Garcia | Behavior Technician | 3760 E 10th Ave, Hialeah, FL 33013 | 2017-07-28 |
| 1932620838 | Ariana Zita Armas Sanchez | Behavior Technician | 912 E 32nd St, Hialeah, FL 33013 | 2017-06-29 |
| 1740717867 | Thalia Cordero Lopez | Behavior Technician | 4501 E 9th Ct, Hialeah, FL 33013 | 2017-05-19 |
| 1386176873 | Gam Dental | Dentist | 508 East 49 St, Hialeah, FL 33013 | 2017-04-03 |
| Find all providers in zip 33013 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710427984 | Neuro Health Associates Inc | Neurological Surgery | 777 E 25th St Ste 308, Hialeah, FL 33013-3824 | 2017-03-07 |
| 1033450168 | Luis R Pagan Md Pa | Neurological Surgery | 7150 W 20th Ave Ste 614, Hialeah, FL 33016-5511 | 2013-03-14 |
| 1750601266 | Giancarlo Perez | Neurological Surgery | 7100 W 20th Ave Ste 504, Hialeah, FL 33016-1824 | 2010-06-07 |
| 1003047150 | Raghuram Sampath | Neurological Surgery | 7100 W 20th Ave Ste 107, Hialeah, FL 33016-1813 | 2009-08-06 |
| 1417159591 | Medical Consultants of Dade & Broward Inc | Neurological Surgery | 7150 W 20th Ave, Hialeah, FL 33016-5529 | 2007-06-01 |
| 1104849686 | Luis Raimundo Pagan | Neurological Surgery | 7100 W 20th Ave, Suite G-176, Hialeah, FL 33016-1897 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032514 | Jose Valerio Md Pllc | Neurological Surgery | 2741 Executive Park Dr Ste 2, Weston, FL 33331-3641 | 2020-04-24 |
| 1376172478 | Neuspine Ancillary LLC | Neurological Surgery | 510 Vonderburg Dr Ste 213, Brandon, FL 33511-5981 | 2020-04-02 |
| 1013542364 | Michelle Carnes | Neurological Surgery | 2575 Northbrooke Plaza Dr Unit 100, Naples, FL 34119-8105 | 2020-03-06 |
| 1962049163 | East Coast Neuro Spine Clinic, LLC | Neurological Surgery | 1601 S Apollo Blvd Ste C, Melbourne, FL 32901-4484 | 2019-12-06 |
| 1659913796 | Orlando Neurosurgical Solutions LLC | Neurological Surgery | 2706 Rew Cir # 205, Ocoee, FL 34761-4215 | 2019-10-10 |
| 1760047831 | North Broward Neurospinal Surgery Inc | Neurological Surgery | 1 W Sample Rd Ste 209, Pompano Beach, FL 33064-3547 | 2019-05-04 |
| 1932672912 | Volusia Neurosurgical Associates | Neurological Surgery | 311 N Clyde Morris Blvd Ste 440, Daytona Beach, FL 32114-2757 | 2019-01-02 |
| 1861961344 | Expert Neurosurgical Services LLC | Neurological Surgery | 600 Heritage Dr Ste 105, Jupiter, FL 33458-3098 | 2018-11-14 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1114492493 | Lloyd Maliner, Md Pa | Neurological Surgery | 301 Nw 84th Ave Ste 206, Plantation, FL 33324-1807 | 2018-10-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.