Premium Surgical Services, L.L.C.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

PREMIUM SURGICAL SERVICES, L.L.C.

Practice address

11760 SW 40TH St
Suite 729
Miami, FL 33175-3582

Phone

(305) 559-2779

Fax

(305) 559-6119

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mercedes Aguirre-Tudela

Title

President

Phone

(305) 559-2779

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1205937117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 729",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-559-2779",
            "fax_number": "305-559-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 729",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-559-2779",
            "fax_number": "305-559-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM SURGICAL SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE-TUDELA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-559-2779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premium Pharmacy Inc
• Premium Plus Health, LLC
• Premium Podiatry Healthcare & Services, Inc.
• Premium Quality Medical Center, Corp.
• Premium Rehab Services Inc
• Premium Transport Corp
• Yadira Prende Alvarez, RBT 1053987
• Prende Enterprises, LLC
• Yasleidi Prendes Hernandez
• Maydelin Prendes Rivero

• Obstetrics Physician in Miami, FL
• Providers in Miami, FL by specialty
• Obstetrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.