Individual provider Active NPI

Yordan Borrego Garcia, SA-C

  • Surgical Assistant
  • Miami, FL
National Provider Identifier
1114437407
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
17-535
Practice address
10251 SW 13TH St
Miami, FL 33174-2713
Phone
(305) 798-6148
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 17-535 Primary

Addresses

Primary practice location

10251 SW 13TH St
Miami, FL 33174-2713

Mailing address

10251Sw13St
Miani, FL 33174-2713
Phone (305) 798-6148

Other identifiers 1

IdentifierTypeStateIssuer
B622-960-82-185-0MedicaidFL

Other names 1

  • Yordan Borrego Garcia Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1114437407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251SW13ST",
            "city": "MIANI",
            "state": "FL",
            "postal_code": "331742713",
            "telephone_number": "305-798-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 SW 13TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742713",
            "telephone_number": "305-798-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREGO GARCIA",
        "first_name": "YORDAN",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "17-535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B622-960-82-185-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YORDAN",
            "last_name": "BORREGO GARCIA",
            "credential": "SA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 2, 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.