SEBASTIAN JOSE VALLEJO MD
NPI 1699448563
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since July 27, 2021PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(612) 532-4987 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sebastian Jose Vallejo Md NPPES

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

SEBASTIAN JOSE VALLEJO MD (NPI 1699448563) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699448563
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSEBASTIAN JOSE VALLEJOCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1096
Mailing Address119 11th Ave NwRochester, MN 55901-2704 · (612) 532-4987
Sole ProprietorNo
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
NPI 1699448563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1611 NW 12TH AVE, Miami, FL 33136

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sebastian Jose Vallejo Md 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.

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Sebastian Vallejo's NPI number?

The NPI number for Sebastian Vallejo is 1699448563. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Sebastian Vallejo located?

Sebastian Vallejo practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (612) 532-4987.

What is Sebastian Vallejo's specialty?

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

Is Sebastian Vallejo enrolled in Medicare?

Yes. Sebastian Vallejo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sebastian Vallejo was last updated on July 27, 2021. 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.