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General NPI Number Information
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NPI Number | 1295053593
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Entity Type | Individual
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Provider Name | JOSE GABRIEL MEDINA SMESTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 801 BRICKELL AVE SUITE 954
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City | MIAMI
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State | FL
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Zip | 33131-2951
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Country | US
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Telephone | 786-375-5098
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Fax | 786-375-5033
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Provider Business Mailing Address
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Address Line | 801 BRICKELL AVE STE 900
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City | MIAMI
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State | FL
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Zip | 33131-2979
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Country | US
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Telephone | 786-477-4292
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Fax | 786-574-5584
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | ME117746
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | ME117746
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | ME117746
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME117746
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License Number State | FL
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