Active NPI
Mauricio Garcia Bango Sosa, PA-C
- Urology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 9118557
- Practice address
- 1150 NW 14TH St Ste 100
Miami, FL 33136-2112 - Phone
- (305) 243-7014
- Fax
- (305) 243-6597
- NPI assigned
- Feb 29, 2024
- Last updated
- Mar 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | ||
| Urology Physician | 208800000X | 9118557 | FL | Primary |
Addresses
Primary practice location
1150 NW 14TH St Ste 100
Miami, FL 33136-2112
Mailing address
1150 NW 14TH St Ste 100
Miami, FL 33136-2112
Phone (305) 243-7014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1150 NW 14TH St
410 Pac
Miami, FL 33136-2115
Phone (305) 243-3100
1601 NW 12TH Ave
Miami, FL 33136-1005
1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005
1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005
1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635
1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251
1611 NW 12 Ave
Miami, FL 33136-1005
1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000
1611 NW 12TH
3B Jackson Memorial Hospital Acc West
Miami, FL 33136-1005
Phone (305) 585-7476
1611 NW 12TH Ave 2ND FL
Miami, FL 33136-1005
1611 NW 12TH Ave 2ND FLR
Miami, FL 33136-1005
1611 NW 12TH Ave 5TH Floor
Acc Clinic West JMH
Miami, FL 33136-1005
Phone (305) 243-4211
1611 NW 12TH Ave Acc E
Miami, FL 33136-1005
1611 NW 12TH Ave Acc E 2ND FLR
Miami, FL 33136-1005
1611 NW 12TH Ave Acc W
Miami, FL 33136-1005
1611 NW 12TH Ave Acc West
Miami, FL 33136-1005
1611 NW 12TH Ave Central
Miami, FL 33136-1005
1611 NW 12TH Ave DTC 1St FLR
JMH
Miami, FL 33136-1005
Phone (305) 585-6970
1611 NW 12TH Ave E
6006 Holtz Children's Hospital
Miami, FL 33136-1005
Phone (904) 697-3945
1611 NW 12TH Ave FL
3 Acc W. Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000
1611 NW 12TH Ave JMH
Miami, FL 33136-1005
1611 NW 12TH Ave JMH 5TH FL
Acc West
Miami, FL 33136-1005
Phone (305) 689-7303
1611 NW 12TH Ave N Wing
Miami, FL 33136-1005
1611 NW 12TH Ave-Nicu
JMH Holtz Children's Hospital
Miami, FL 33136-1005
Phone (305) 547-1496
8375 NW 53Rd Terr
Doral, FL 33166-4851
Phone (305) 689-8375
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9118557 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1150 NW 14th St
Ste 100
Miami, FL 33136
Phone (305) 243-1010
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba UMiami Medicine - Ophthalmology (PALM BEACH)
- Ophthalmology Physician
- Miami, FL
- NPI 1649210741
-
dba UMiami Medicine- Pediatric Allergy
- Pediatric Allergy/Immunology Physician
- Miami, FL
- NPI 1427609080
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sylvester Comprehensive Cancer Center
- Special Hospital
- Miami, FL
- NPI 1679660617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1457118002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 NW 14TH ST STE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362112",
"telephone_number": "305-243-7014",
"fax_number": "305-243-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 NW 14TH ST STE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362112",
"telephone_number": "305-243-7014",
"fax_number": "305-243-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA BANGO SOSA",
"first_name": "MAURICIO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-29",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "9118557",
"primary": true
}
],
"identifiers": [],
"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 Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.