Active NPI
Bay Surgical Group LLC
- Vascular Surgery Physician
- Miami, FL
National Provider Identifier
1144553157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME70014
- Legal business name
- BAY SURGICAL GROUP LLC
- Practice address
- 3181 Coral Way Ste 301
Miami, FL 33145-3249 - Phone
- (305) 856-1002
- Fax
- (305) 856-0199
- NPI assigned
- Sep 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan C Fleites
- Title
- Medical Doctor
- Phone
- (305) 856-1002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME70014 | FL | Primary |
Addresses
Primary practice location
3181 Coral Way Ste 301
Miami, FL 33145-3249
Mailing address
3661 S Miami Ave
Suite 708
Miami, FL 33133-4236
Phone (305) 856-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Bay Surgical Group LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Vascular Surgery Physician
- Coral Gables, FL
- NPI 1619404027
Locations
3181 Coral Way
Ste 400
Miami, FL 33145
3181 Coral Way
Fl 4
Miami, FL 33145
Phone (305) 445-7200
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Miami, FL
- NPI 1174511729
-
- Vascular Surgery Physician
- Miami, FL
- NPI 1417270356
-
- Surgery Physician
- Miami, FL
- NPI 1700230703
-
- Vascular Surgery Physician
- Miami, FL
- NPI 1740581180
-
- Surgery Physician
- Miami, FL
- NPI 1710119722
-
- Surgery Physician
- Tamarac, FL
- NPI 1568652196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1144553157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "SUITE 708",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-856-1002",
"fax_number": "305-856-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 CORAL WAY STE 301",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453249",
"telephone_number": "305-856-1002",
"fax_number": "305-856-0199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY SURGICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-09",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A",
"authorized_official_last_name": "FLEITES",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "305-856-1002"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME70014",
"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 Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.