Ambulatory Surgical Center of Miami

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PH8888 Issued in FL

Legal business name

AMBULATORY SURGICAL CENTER OF MIAMI

Doing business as

Miami Endoscopy Center

Practice address

7500 SW 87TH Ave
Suite# 101
Miami, FL 33173-5426

Phone

(305) 595-9511

Fax

(305) 271-0383

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Carballo

Title

Administrator

Phone

(305) 595-9511

Specialties & licenses 1

Addresses

Other names 1

• MIAMI ENDOSCOPY CENTER Doing business as

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083620058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SW 87 AVE",
            "address_2": "SUITE# 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-595-9511",
            "fax_number": "305-271-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SW 87TH AVE",
            "address_2": "SUITE# 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735426",
            "telephone_number": "305-595-9511",
            "fax_number": "305-271-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGICAL CENTER OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARBALLO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-595-9511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "PH8888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIAMI ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• 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.