SERGIO JESUS MEDINA CHOQUE
NPI 1083415384
Student in an Organized Health Care Education/Training Program in St Petersburg, FL

Q: What is Sergio Medina Choque's NPI number?

The NPI number for Sergio Medina Choque is 1083415384. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Q: What is Sergio Medina Choque's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 22, 2025PECOS Enrolled

6500 38TH AVE N, ST PETERSBURG, FL 33710(727) 384-7727 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sergio Jesus Medina Choque NPPES

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

SERGIO JESUS MEDINA CHOQUE (NPI 1083415384) is an individual student in an organized health care education/training program in St Petersburg, Florida and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083415384

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameSERGIO JESUS MEDINA CHOQUE

Location Address6500 38TH AVE NSt Petersburg, FL 33710-1629

Mailing Address6500 38th Ave NSt Petersburg, FL 33710-1629 · (727) 384-7727

Phone(727) 384-7727

Sole ProprietorNo

Enumeration DateMarch 22, 2025

NPPES CertifiedMarch 21, 2025

✔ NPI 1083415384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6500 38TH AVE N, St Petersburg, FL 33710

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sergio Jesus Medina Choque is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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