NPIMap

Organization Active NPI

Sergio J. Jacinto, M.D., P.a.

  • Specialist
  • Tampa, FL
National Provider Identifier
1124128103
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0066271 Issued in FL
Legal business name
SERGIO J. JACINTO, M.D., P.A.
Practice address
4507 N. Armenia Ave
Tampa, FL 33603
Phone
(813) 876-4100
Fax
(813) 876-4153
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Mrs. Yanet Pacheco
Title
Office Manager
Phone
(813) 876-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0066271 FL Primary

Addresses

Primary practice location

4507 N. Armenia Ave
Tampa, FL 33603

Mailing address

4507 N. Armenia Ave
Tampa, FL 33603
Phone (813) 876-4100

National Provider Directory

National Provider Directory

Locations

4507 N Armenia Ave
Tampa, FL 33603
Phone (813) 876-4100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1124128103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 N. ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-876-4100",
            "fax_number": "813-876-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 N. ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-876-4100",
            "fax_number": "813-876-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO J. JACINTO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-876-4100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0066271",
            "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 Sep 4, 2020; 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.