GUSTAVO VALLEJO MD NPI 1174325559

NPI Information

  • NPI: 1174325559
  • Provider Name: GUSTAVO VALLEJO, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 207 NW SAINT JAMES DR
    PORT SAINT LUCIE, FL
    ZIP 34983
  • Phone: (772) 710-8583

Map and Directions

Get Directions

NPI Details

Gustavo Vallejo, MD is an internal medicine in Port Saint Lucie, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Gustavo Vallejo, MD NPI is 1174325559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

207 NW SAINT JAMES DR
PORT SAINT LUCIE, FL
ZIP 34983-291
Phone: (772) 710-8583
Fax: (772) 204-2230

The enumeration date for this NPI number is 3/26/2025 and was last updated on 10/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeME172712Foreign CountryNo
2207R00000XInternal MedicineME172712FLORIDAYes
3207R00000XInternal MedicineME172712Foreign CountryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI