Individual provider Active NPI

Ariel Alfredo Palacios Parada, SA-C

  • Surgical Assistant
  • Sunny Isles Beach, FL
National Provider Identifier
1588442016
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
23-625 Issued in FL
Practice address
250 180TH Dr Apt 559
Sunny Isles Beach, FL 33160-5502
Phone
(786) 907-6767
NPI assigned
Sep 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 23-625 FL Primary

Addresses

Primary practice location

250 180TH Dr Apt 559
Sunny Isles Beach, FL 33160-5502

Mailing address

250 180TH Dr Apt 559
Sunny Isles Beach, FL 33160-5502
Phone (786) 907-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23-625FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1588442016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 180TH DR APT 559",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331605502",
            "telephone_number": "786-907-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 180TH DR APT 559",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331605502",
            "telephone_number": "786-907-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS PARADA",
        "first_name": "ARIEL",
        "middle_name": "ALFREDO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "23-625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.