Provider Demographics
NPI:1407274491
Name:VILCHEZ, GABRIEL ALEJANDRO (MD)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:ALEJANDRO
Last Name:VILCHEZ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:5200 BABCOCK ST NE STE 303
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-4648
Mailing Address - Country:US
Mailing Address - Phone:866-306-9229
Mailing Address - Fax:877-330-6680
Practice Address - Street 1:5200 BABCOCK ST NE STE 303
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-4648
Practice Address - Country:US
Practice Address - Phone:321-499-3077
Practice Address - Fax:888-440-8238
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY53284207RI0200X
FL163821207RI0200X, 207RI0200X
IN01088936A207RI0200X
NMMD2022-1515207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease