Provider Demographics
NPI:1265619266
Name:GIRON, JOSE ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ALBERTO
Last Name:GIRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2884 S OSCEOLA AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-5431
Mailing Address - Country:US
Mailing Address - Phone:407-999-5225
Mailing Address - Fax:407-999-5226
Practice Address - Street 1:2884 S OSCEOLA AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-5431
Practice Address - Country:US
Practice Address - Phone:407-999-5225
Practice Address - Fax:407-999-5226
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78605207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258466200Medicaid
FLB88360Medicare UPIN
FLK3450Medicare UPIN
FL1265619266Medicare PIN
FL1891711180Medicare PIN