Provider Demographics
NPI:1225237399
Name:GILBERTO SECO MD AND ASSOCIATES,INC
Entity Type:Organization
Organization Name:GILBERTO SECO MD AND ASSOCIATES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SECO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-325-9550
Mailing Address - Street 1:11767 S DIXIE HWY
Mailing Address - Street 2:SUITE 282
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4438
Mailing Address - Country:US
Mailing Address - Phone:305-325-9550
Mailing Address - Fax:305-325-9549
Practice Address - Street 1:8900 SW 24TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2075
Practice Address - Country:US
Practice Address - Phone:305-325-9550
Practice Address - Fax:305-325-9549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1748AMedicare PIN