Cirilo M. Seralde Jr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0043253 Issued in FL

Practice address

343 S Commerce Ave
Sebring, FL 33870-3607

Phone

(863) 382-2772

Fax

(863) 382-3172

NPI assigned

Jul 31, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Camel Irrv Complex Trust

  • Clinic/Center
  • Sebring, FL
  • NPI 1902095870
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720093263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 S COMMERCE AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703607",
            "telephone_number": "863-382-2772",
            "fax_number": "863-382-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S COMMERCE AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703607",
            "telephone_number": "863-382-2772",
            "fax_number": "863-382-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERALDE",
        "first_name": "CIRILO",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0043253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER FOR SEBRING MEDICAL WALK-IN CLINIC",
            "identifier": "41214Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068235700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER",
            "identifier": "41214",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHYSICIAN LICENSE",
            "identifier": "ME0043253",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER FAIRMOUNT WALK-IN MEDICAL CLINIC",
            "identifier": "41214C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Select Rehab.
• Mark T Selleck, LPO,CPO
• Jeremy Kent Selley, DO
• Victoria Hutto Selley, DO
• Carl-El Jonathan Alain Semerzier, DDS
• Mercy L Seralde, M.D.
• Victor Medina Seralde, M.D.
• Serenity 2 LLC
• Lourdes Maria Serralta
• Tadserh Sjeator Serralta, D.C.

• General Practice Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.