Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sergio San Jose, DO

Individual provider Infectious Disease Physician · NPI 1023307832

Sergio San Jose, DO is an Infectious Disease in Hialeah, Florida. Qualified in 2011, 15 years ago. Practices with Sji Medical PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2620 W 76th St Apt 206
Hialeah, FL 33016-5649
Phone: (786) 897-0578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence OS12497 (FL)

Record details

NPI number1023307832
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2011
Last updated in NPPESOctober 18, 2016
Mailing address2620 W 76th St Apt 206, Hialeah, FL 33016-5649

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sji Medical Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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