Organization Active NPI

Sergio Xiques MD PA

  • Hematology & Oncology Physician
  • Miami, FL
National Provider Identifier
1295993954
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0045708 Issued in FL
Legal business name
SERGIO XIQUES MD PA
Practice address
11760 SW 40TH St
420
Miami, FL 33175-3582
Phone
(305) 225-8804
Fax
(305) 225-4466
NPI assigned
May 29, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Sergio J Xiques, MDNPI 1922096130
Title
President
Phone
(305) 225-8804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0045708 FL Primary

Addresses

Primary practice location

11760 SW 40TH St
420
Miami, FL 33175-3582

Mailing address

11760 SW 40TH St
420
Miami, FL 33175-3582
Phone (305) 225-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000661 FL Part B Supplier - Clinic/Group Practice 1658446489 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

11760 SW 40th St
Ste 420
Miami, FL 33175
Phone (305) 225-8804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1295993954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-225-8804",
            "fax_number": "305-225-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-225-8804",
            "fax_number": "305-225-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO XIQUES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "XIQUES",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-225-8804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0045708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.