SERGIO JAVIER GARDEAZABAL
NPI 1003416561
Nurse Practitioner - Family in Hialeah Gardens, FL

Q: What is Sergio Gardeazabal's NPI number?

The NPI number for Sergio Gardeazabal is 1003416561. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Q: What is Sergio Gardeazabal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 26, 2020

11039 W OKEECHOBEE RD UNIT 201, HIALEAH GARDENS, FL 33018(786) 630-5957 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sergio Javier Gardeazabal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGIO JAVIER GARDEAZABAL (NPI 1003416561) is an individual family provider in Hialeah Gardens, Florida, licensed in Florida (11007982) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1003416561

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSERGIO JAVIER GARDEAZABAL

Location Address11039 W OKEECHOBEE RD UNIT 201Hialeah Gardens, FL 33018-4256

Mailing Address11039 W Okeechobee Rd Unit 201Hialeah Gardens, FL 33018-4256

Phone(786) 630-5957

Sole ProprietorYes

Enumeration DateOctober 26, 2020

NPPES CertifiedOctober 26, 2020

✔ NPI 1003416561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11007982

11039 W OKEECHOBEE RD UNIT 201, Hialeah Gardens, FL 33018

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Gardeazabal's NPI number?

The NPI number for Sergio Gardeazabal is 1003416561. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Sergio Gardeazabal located?

Sergio Gardeazabal practices at 11039 W Okeechobee Rd Unit 201, Hialeah Gardens, FL 33018. The listed phone number is (786) 630-5957.

What is Sergio Gardeazabal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sergio Gardeazabal was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.