Active NPI
Santa Lucia Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Miami, FL
National Provider Identifier
1295793974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SANTA LUCIA SURGICAL CENTER LLC
- Practice address
- 2441 SW 37TH Ave
Miami, FL 33145 - Phone
- (305) 442-0066
- NPI assigned
- May 3, 2006
- 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
- Salomon Esquenazi, MD
- Title
- President
- Phone
- (305) 442-0066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2441 SW 37TH Ave
Miami, FL 33145
Mailing address
2441 SW 37TH Ave
Miami, FL 33145
Phone (305) 442-0066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016025100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060103000151 | FL | Part B Supplier - Ambulatory Surgical Center | 3274555453 | Practice locations: Miami, FL |
Ambulatory surgical center certification: CCN 10C0001126
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SANTA LUCIA SURGICAL CENTER, LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jun 14, 1990
- Last certification
- Apr 29, 2021
- Ownership / control type
- Proprietary
- Facility address
- 2441 SW 37TH Ave
Miami, FL 33145
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403136000000",
"number": "1295793974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 SW 37TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33145",
"telephone_number": "305-442-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 SW 37TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33145",
"telephone_number": "305-442-0066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA LUCIA SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2014-06-19",
"status": "A",
"authorized_official_last_name": "ESQUENAZI",
"authorized_official_first_name": "SALOMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-442-0066",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016025100",
"state": "FL"
}
],
"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 Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.