Sergio J Jacinto, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

ME66271 Issued in FL

Practice address

4507 N Armenia Ave
Tampa, FL 33603-4742

Phone

(813) 876-4100

Fax

(813) 876-4153

NPI assigned

Jul 8, 2006

Last updated

Sep 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sergio J. Jacinto, M.D., P.a.

  • Specialist
  • Tampa, FL
  • NPI 1124128103
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1558394114",
    "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": "336037770",
            "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": "336034742",
            "telephone_number": "813-876-4100",
            "fax_number": "813-876-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACINTO",
        "first_name": "SERGIO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME66271",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME66271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Carlos Jacas, DMD
• Jachimek Chiropractic Clinic, P.a.
• Jachimek Wellness Center (Jachimek Chiropractic)
• Richard Henry Jachimek, DC
• Sergio Jacinto
• Jack B. Thigpen, III, DMD, PA (West Coast Center For Jaw Surgery)
• Jack Parrino MD PA
• Vuyelwa Jack
• Haley Jackowiak
• Jackson Dental, P.a.

• Neurology with Special Qualifications in Child Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• 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.