Organization Active NPI

Aqua Vista Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Miami, FL
National Provider Identifier
1114809837
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AQUA VISTA SURGERY CENTER LLC
Practice address
4770 Biscayne Blvd Ste 1000
Miami, FL 33137-3232
Phone
(305) 204-9598
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Dr. Sidhbh Gallagher, MD
Title
Medical Director
Phone
(215) 206-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4770 Biscayne Blvd Ste 1000
Miami, FL 33137-3232

Mailing address

4770 Biscayne Blvd Ste 1000
Miami, FL 33137-3232
Phone (305) 204-9598

National Provider Directory

National Provider Directory

Locations

4770 Biscayne Blvd
Ste 1000
Miami, FL 33137
Phone (305) 204-9598

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1114809837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 1000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373232",
            "telephone_number": "305-204-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 1000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373232",
            "telephone_number": "305-204-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA VISTA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "SIDHBH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-206-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Jul 23, 2025; 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.