Active NPI
Doral Surgical Services
- Surgery Physician
- Doral, FL
National Provider Identifier
1194998062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- DORAL SURGICAL SERVICES
- Practice address
- 6440 NW 114TH Ave Unit 405
Doral, FL 33178-4572 - Phone
- (305) 905-7628
- Fax
- (786) 431-1078
- NPI assigned
- Apr 10, 2008
- Last updated
- Jun 17, 2008
- 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
- Mr. Maximo R Tirador, SAC
- Title
- President
- Phone
- (305) 905-7628
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
6440 NW 114TH Ave Unit 405
Doral, FL 33178-4572
Mailing address
6440 NW 114TH Ave Unit 405
Doral, FL 33178-4572
Phone (305) 905-7628
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgical Technologist
- Miami, FL
- NPI 1366620809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1194998062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 NW 114TH AVE UNIT 405",
"city": "DORAL",
"state": "FL",
"postal_code": "331784572",
"telephone_number": "305-905-7628",
"fax_number": "786-431-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 NW 114TH AVE UNIT 405",
"city": "DORAL",
"state": "FL",
"postal_code": "331784572",
"telephone_number": "305-905-7628",
"fax_number": "786-431-1078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORAL SURGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-10",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "TIRADOR",
"authorized_official_first_name": "MAXIMO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-905-7628",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "SAC"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.