Gerardo Jose Zablah Regalado, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME140388 Issued in FL

Practice address

410 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5529

Phone

(305) 827-2977

Fax

(305) 692-0717

NPI assigned

Apr 19, 2016

Reactivated

Feb 22, 2017

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

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

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 and National Provider Directory roles.

• Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881024800
  Medicare reassignment
• Chen Neighborhood Medical Centers of South Florida, LLC

  • Non-Pharmacy Dispensing Site
  • Hollywood, FL
  • NPI 1003409707
  NPD

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1942654637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095529",
            "telephone_number": "305-827-2977",
            "fax_number": "305-692-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095529",
            "telephone_number": "305-827-2977",
            "fax_number": "305-692-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABLAH REGALADO",
        "first_name": "GERARDO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "deactivation_date": "2016-12-14",
        "reactivation_date": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME140388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ymp Seaside Opco LLC
• Marina Yoets
• Weihua Yu, AP
• Sergei Yuryk, DDS
• Erica Yusupov
• Vladimir Zakharov, AP
• Imazulay Zalkind, CCC-SLP
• Mira Zeitlin
• Mikhail Zelfman, D.O.
• Dmitry Zhukovski, D.O.

• Internal Medicine Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.