Organization Active NPI

Porta del Sol Surgical Services Inc

  • Foot & Ankle Surgery Podiatrist
  • Doral, FL
National Provider Identifier
1356646228
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PORTA DEL SOL SURGICAL SERVICES INC
Practice address
3650 NW 82ND Ave
Suite 201
Doral, FL 33166-6658
Phone
(305) 537-7272
Fax
(305) 537-7274
NPI assigned
Jan 24, 2011
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Gregorio Caban, DPMNPI 1205894391
Title
President
Phone
(305) 537-7272

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)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

3650 NW 82ND Ave
Suite 201
Doral, FL 33166-6658

Mailing address

3650 NW 82ND Ave
Suite 201
Doral, FL 33166-6658
Phone (305) 537-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110826000320 FL Part B Supplier - Clinic/Group Practice 2062682214 Receives reassigned benefits from 2 practitioners
Practice locations: Doral, FL; Hialeah, FL; Miami, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2000 NW 87th Ave
Ste 217
Doral, FL 33172
Phone (305) 396-8731

3650 NW 82nd Ave
Ste 201
Doral, FL 33166
Phone (305) 426-4263

9055 SW 87th Ave
Ste 305
Miami, FL 33176
Phone (305) 270-1361

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1356646228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "address_2": "SUITE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-537-7272",
            "fax_number": "305-537-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "address_2": "SUITE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-537-7272",
            "fax_number": "305-537-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTA DEL SOL SURGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-537-7272",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "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 Feb 3, 2011; 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.

Verify at the official NPI Registry.