1932647930 NPI number — ADVANCED MINIMALLY INVASIVE SURGERY CENTER, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932647930 NPI number — ADVANCED MINIMALLY INVASIVE SURGERY CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED MINIMALLY INVASIVE SURGERY CENTER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932647930
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21097 NE 27TH COURT
Provider Second Line Business Mailing Address:
SUITE 540
Provider Business Mailing Address City Name:
AVENTURA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33180-1235
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-623-2000
Provider Business Mailing Address Fax Number:
786-364-0532

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21097 NE 27TH COURT
Provider Second Line Business Practice Location Address:
SUITE 540
Provider Business Practice Location Address City Name:
AVENTURA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33180-1235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-623-2000
Provider Business Practice Location Address Fax Number:
786-364-0532
Provider Enumeration Date:
02/09/2017

Additional Information

Authorized Official

Authorized Official Last Name:
FIGUEREO
Authorized Official First Name:
SANTIAGO
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
786-623-2000

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X , with the licence number:  ME94748 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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