Active NPI
Sergio Roberto Ceballos, LMT
- Other Technician
- Tampa, FL
National Provider Identifier
1508016320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- MA54554
- Practice address
- 6506 N Florida Ave
Ste 101
Tampa, FL 33604-6060 - Phone
- (813) 964-6872
- NPI assigned
- Sep 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MA54554 | FL | Primary |
Addresses
Primary practice location
6506 N Florida Ave
Ste 101
Tampa, FL 33604-6060
Mailing address
7506 Colonial CT
Tampa, FL 33615-1546
Phone (813) 480-5046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA54554 | FL | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solution Medical Center II Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Tampa, FL
- NPI 1740439850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1508016320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7506 COLONIAL CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336151546",
"telephone_number": "813-480-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 N FLORIDA AVE",
"address_2": "STE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336046060",
"telephone_number": "813-964-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLOS",
"first_name": "SERGIO",
"middle_name": "ROBERTO",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "MA54554",
"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 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.