Individual provider Active NPI

Jorge Arturo Garcia Bango Chabau Sr.

  • Surgical Assistant
  • Sunny Isles Beach, FL
National Provider Identifier
1013469535
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
16-665 Issued in WI
Practice address
17000 N Bay Rd Apt 1007
Sunny Isles Beach, FL 33160-4278
Phone
(786) 454-7237
NPI assigned
Nov 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 16-665 WI Primary

Addresses

Primary practice location

17000 N Bay Rd Apt 1007
Sunny Isles Beach, FL 33160-4278

Mailing address

17000 N Bay Rd Apt 1007
Sunny Isles Beach, FL 33160-4278
Phone (786) 454-7237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16-665WIMDSurgical Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1013469535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 N BAY RD APT 1007",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604278",
            "telephone_number": "786-454-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 N BAY RD APT 1007",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604278",
            "telephone_number": "786-454-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA BANGO CHABAU",
        "first_name": "JORGE",
        "middle_name": "ARTURO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "16-665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.