Provider Demographics
NPI:1659918456
Name:GIL, MARIA FERNANDA (MD (HOUSE PHYSICIAN))
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FERNANDA
Last Name:GIL
Suffix:
Gender:F
Credentials:MD (HOUSE PHYSICIAN)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15640 SW 127TH AVENUE APT 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177
Mailing Address - Country:US
Mailing Address - Phone:786-303-3419
Mailing Address - Fax:
Practice Address - Street 1:JACKSON SOUTH MEDICAL CENTER
Practice Address - Street 2:9333 SW 152 STREET
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4495
Practice Address - Country:US
Practice Address - Phone:305-256-5237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-30
Last Update Date:2024-09-19
Deactivation Date:2024-06-05
Deactivation Code:
Reactivation Date:2024-09-18
Provider Licenses
StateLicense IDTaxonomies
FLHSE32034208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty