Sergio San Jose
Infectious Disease
2620 W 76th St Apt 206
Hialeah
, Florida 33016-5649
Sergio San Jose
Infectious Disease
2620 W 76th St Apt 206
Hialeah
, Florida 33016-5649
(786) 897-0578
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Sergio San Jose
- 2620 W 76th St Apt 206
- Hialeah, FL
- Zip : 33016-5649
- Phone : (786) 897-0578
Second Address
- Sergio San Jose
- 2620 W 76th St Apt 206
- Hialeah, FL
- Zip : 33016-5649
- Phone : (786) 897-0578
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | OS12497 | FL |
National Provider Identifier
| NPI | 1023307832 |
|---|---|
| Provider Name | Sergio San Jose |
| First Address | Hialeah, FL 33016-5649 |
| Second Address | Hialeah, FL 33016-5649 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2011 |
| Last Update Date | 18/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.