Sergio Reynaldo Gaitan, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME130475 Issued in FL

Practice address

9060 SW 73Rd CT
Miami, FL 33156-2961

Phone

(305) 670-1111

Fax

(305) 670-1110

NPI assigned

Apr 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1386087583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 99TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762879",
            "telephone_number": "786-564-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 SW 73RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562961",
            "telephone_number": "305-670-1111",
            "fax_number": "305-670-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3470 NW 82nd Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331221026",
            "country_code": "US",
            "telephone_number": "786-272-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITAN",
        "first_name": "SERGIO",
        "middle_name": "REYNALDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME130475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Gainza, A.R.N.P
• Marta L Gainza, DMD FAGD
• Jaime L Gaitan, M.D.
• Lucia Fernanda Gaitan, M.D.
• Maria Gabriela Gaitan, DPT
• Mackenzie Shae Gaitens, PHARMD
• Evelyns Gaiti
• Gaitway Rehabilitation and Fitness
• Alchani P Gajavelli, B.PHARM
• Vaishali Gajera, MD

• Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.