Organization Active NPI

Edgar a Batista MD PA

  • Medical Specialty Clinic/Center
  • Doral, FL
National Provider Identifier
1417080565
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME-89120 Issued in FL
Legal business name
EDGAR A BATISTA MD PA
Practice address
7950 NW 53Rd St Ste 108
Doral, FL 33166-4681
Phone
(305) 499-4200
Fax
(855) 420-6315
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Dr. Edgar Arturo Batista, MDNPI 1891712808
Title
Owner
Phone
(305) 499-4200

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
Medical Specialty Clinic/Center 261QM2500X ME-89120 FL Primary

Addresses

Primary practice location

7950 NW 53Rd St Ste 108
Doral, FL 33166-4681

Mailing address

7950 NW 53Rd St Ste 108
Doral, FL 33166-4681
Phone (305) 499-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070531000255 FL Part B Supplier - Clinic/Group Practice 5799883633 Receives reassigned benefits from 1 practitioner
Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Locations

7950 NW 53rd St
Ste 108
Miami, FL 33166
Phone (305) 499-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1417080565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664681",
            "telephone_number": "305-499-4200",
            "fax_number": "855-420-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664681",
            "telephone_number": "305-499-4200",
            "fax_number": "855-420-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR A BATISTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "BATISTA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-499-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME-89120",
            "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 Oct 3, 2019; 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.