Issac Lazaro Sobrino Morgado, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

18-231 Issued in FL

Practice address

2244 NE 173Rd St
Apt 9
North Miami Beach, FL 33160-2980

Phone

(315) 395-7690

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1457846032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 NE 173RD ST APT 9",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331602980",
            "telephone_number": "315-395-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 NE 173RD ST",
            "address_2": "APT 9",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331602980",
            "telephone_number": "315-395-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBRINO MORGADO",
        "first_name": "ISSAC",
        "middle_name": "LAZARO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "18-231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.