South Broward Hospital District

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTH BROWARD HOSPITAL DISTRICT

Doing business as

Memorial Division of Urology

Practice address

20801 Biscayne Blvd
Suite 203
Aventura, FL 33180-1430

Phone

(954) 276-5615

Fax

(954) 985-7074

NPI assigned

Mar 26, 2014

Last updated

Apr 22, 2014By 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

Mrs. Nina Beauchesne

Title

Sr Vice President

Phone

(954) 265-6996

Specialties & licenses 1

Addresses

Other names 1

• Memorial Division of Urology Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1093132169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "MPG DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5581",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 BISCAYNE BLVD",
            "address_2": "SUITE 203",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801430",
            "telephone_number": "954-276-5615",
            "fax_number": "954-985-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "BEAUCHESNE",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "954-265-6996",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Division of Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agustin Soria
• Sos Physio LLC
• Carmen Luz Sotelo, MS
• Renato Carlo Sotelo
• South Broward Hospital District (Memorial Primary Care 40 Aventura)
• South Florida Center for Periodontics & Implant Dentistry of Aventura
• South Florida Eye Associates, PA
• South Florida Hand Institute
• South Florida Heart Group PA
• South Florida Hyperbaric Associates P a

• Urology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.