Jorge Govin Amador, CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

8814 NW 180TH Ter
Hialeah, FL 33018-6503

Phone

(786) 390-4789

NPI assigned

Aug 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Surgical Services PLLC

  • Surgical Physician Assistant
  • Hialeah, FL
  • NPI 1033302641
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1063189017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 NW 180TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186503",
            "telephone_number": "786-390-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 NW 180TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186503",
            "telephone_number": "786-390-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVIN AMADOR",
        "first_name": "JORGE",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saraemis Gort Caballero
• Jeidy Gort Marin
• Jacqueline Gort Wong
• Gospa Rehabilitation Inc
• Gisselle Govea Cruz
• Myrel Maria Govin I, BACHELOR'S DEGREE
• GR & Y, Corp
• Grace Care Family Home, Corp
• Grace Home Healthcare, Inc
• Graciella Nuevo

• Surgical Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.