Active NPI
Percival Mindoro Tamayo, MD
- Internal Medicine Physician
- Sebring, FL
National Provider Identifier
1679588933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0040975
- Practice address
- 6801 US Highway 27 N
Ste. B2
Sebring, FL 33870-7840 - Phone
- (863) 385-2244
- Fax
- (863) 385-4661
- NPI assigned
- Jul 29, 2006
- Last updated
- Jun 6, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0040975 | FL | Primary |
Addresses
Primary practice location
6801 US Highway 27 N
Ste. B2
Sebring, FL 33870-7840
Mailing address
6801 US Highway 27 N
Ste. B2
Sebring, FL 33870-7840
Phone (863) 385-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116919505 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0040975 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1679588933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 US HIGHWAY 27 N",
"address_2": "STE. B2",
"city": "SEBRING",
"state": "FL",
"postal_code": "338707840",
"telephone_number": "863-385-2244",
"fax_number": "863-385-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 US HIGHWAY 27 N",
"address_2": "STE. B2",
"city": "SEBRING",
"state": "FL",
"postal_code": "338707840",
"telephone_number": "863-385-2244",
"fax_number": "863-385-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAYO",
"first_name": "PERCIVAL",
"middle_name": "MINDORO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0040975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116919505",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
- Synergy ABA Central Inc
- Synergy of Minds Inc. (Synergy Health Group)
- Tadserh Serralta, Inc.
- Douglas Talbott, MA
- Mary Michelle Tamayo, PHARMD
- Tampa Bay Emergency Physicians-Heartland LLC
- Rishabh Tandon, MD
- Maryanne Tanguay Higgins, MONTRICE/DOULA IBCLC
- Christopher Tangunan, MD
- Ray Hernando Tangunan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.