NPIMap

Individual provider Active NPI

Amaury Aragon, P.A.-C.

  • Surgical Physician Assistant
  • Miami Lakes, FL
National Provider Identifier
1093728602
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9101047 Issued in FL
Practice address
7142 Laurel LN
Miami Lakes, FL 33014-2664
Phone
(305) 463-6690
Fax
(305) 463-6693
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101047 FL
Surgical Physician Assistant 363AS0400X PA9101047 FL Primary

Addresses

Primary practice location

7142 Laurel LN
Miami Lakes, FL 33014-2664

Mailing address

PO Box 5134
Hialeah, FL 33014-1134
Phone (305) 463-6690

Other identifiers 2

IdentifierTypeStateIssuer
290740200MedicaidFL
Y00VVOtherFLBC BS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000039 FL Practitioner - Physician Assistant 4082500731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Surgical Services PLLCGroup PAC ID 6608959200, 5 clinicians

Practice addresses (Care Compare)

1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (954) 276-5401

3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 966-4500

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101047FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surg Med Assistants Surgical Past Accepting new patients
Jorge de la Portilla PA PastSince Jul 20, 2011 Accepting new patients
Surgical Staffing Development and Services, Inc. Surgical Past Accepting new patients
Surg Med of Northshore Surgical Past Accepting new patients
Healthcare Surgical Services, Inc. Surgical Past Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1093728602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5134",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330141134",
            "telephone_number": "305-463-6690",
            "fax_number": "305-463-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7142 LAUREL LN",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142664",
            "telephone_number": "305-463-6690",
            "fax_number": "305-463-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "AMAURY",
        "credential": "P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101047",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290740200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FLORIDA",
            "identifier": "Y00VV",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.