NPIMap

Organization Active NPI

Surg Med Assistants

  • Surgical Physician Assistant
  • Miami Lakes, FL
National Provider Identifier
1053470849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURG MED ASSISTANTS
Practice address
8102 NW 158TH Ter
Miami Lakes, FL 33016-7119
Phone
(305) 586-0717
Fax
(305) 819-9714
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Manuel Vila, P.A.NPI 1720147515
Title
President
Phone
(305) 586-0717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

8102 NW 158TH Ter
Miami Lakes, FL 33016-7119

Mailing address

8102 NW 158TH Ter
Miami Lakes, FL 33016-7119
Phone (305) 558-2787

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053470849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 NW 158TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330167119",
            "telephone_number": "305-558-2787",
            "fax_number": "305-819-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 NW 158TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330167119",
            "telephone_number": "305-586-0717",
            "fax_number": "305-819-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURG MED ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-586-0717",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.