Individual provider Active NPI

Ingrid Victoria Quiroz Mejia, SA-C

  • Surgical Assistant
  • Miami, FL
National Provider Identifier
1063946887
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
17-218 Issued in FL
Practice address
10155 NW 9TH Street Cir
Apt 405
Miami, FL 33172-6620
Phone
(786) 818-2380
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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 17-218 FL Primary

Addresses

Primary practice location

10155 NW 9TH Street Cir
Apt 405
Miami, FL 33172-6620

Mailing address

10155 NW 9TH Street Cir
Apt 405
Miami, FL 33172-6620
Phone (786) 818-2380

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
17-218FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1063946887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 NW 9TH STREET CIR",
            "address_2": "APT 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726620",
            "telephone_number": "786-818-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 NW 9TH STREET CIR",
            "address_2": "APT 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726620",
            "telephone_number": "786-818-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROZ MEJIA",
        "first_name": "INGRID",
        "middle_name": "VICTORIA",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "17-218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.