Individual provider Active NPI

Gretchen Sanmiguel, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Tampa, FL
National Provider Identifier
1639315161
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME103178 Issued in FL
Practice address
601 S Harbour Island Blvd Ste 109
Tampa, FL 33602-5927
Phone
(407) 587-9113
Fax
(813) 565-1578
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME103178 FL Primary

Addresses

Primary practice location

601 S Harbour Island Blvd Ste 109
Tampa, FL 33602-5927

Mailing address

601 S Harbour Island Blvd Ste 109
Tampa, FL 33602-5927
Phone (407) 587-9113

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1639315161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 109",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025927",
            "telephone_number": "407-587-9113",
            "fax_number": "813-565-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 109",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025927",
            "telephone_number": "407-587-9113",
            "fax_number": "813-565-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANMIGUEL",
        "first_name": "GRETCHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME103178",
            "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 29, 2025; 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.