Organization Active NPI

Gerardo F. Palacios, M.D. P. a.

  • Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1104866607
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
30375 Issued in FL
Legal business name
GERARDO F. PALACIOS, M.D. P. A.
Practice address
1004 W Linebaugh Ave
Suite C
Tampa, FL 33612-7837
Phone
(813) 932-3132
Fax
(813) 935-5562
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gerardo F. Palacios, MD
Title
Physician
Phone
(813) 932-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 30375 FL Primary

Addresses

Primary practice location

1004 W Linebaugh Ave
Suite C
Tampa, FL 33612-7837

Mailing address

1004 W Linebaugh Ave
Suite C
Tampa, FL 33612-7837
Phone (813) 932-3132

National Provider Directory

National Provider Directory

Locations

1004 W Linebaugh Ave
Ste C
Tampa, FL 33612
Phone (813) 932-3132

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1104866607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W LINEBAUGH AVE",
            "address_2": "SUITE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127837",
            "telephone_number": "813-932-3132",
            "fax_number": "813-935-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W LINEBAUGH AVE",
            "address_2": "SUITE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127837",
            "telephone_number": "813-932-3132",
            "fax_number": "813-935-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO F. PALACIOS, M.D. P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-932-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "30375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.