Bayshore Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BAYSHORE SURGICAL ASSOCIATES, LLC

Practice address

3181 Coral Way
Suite 302
Coral Gables, FL 33145-3216

Phone

(305) 856-1002

Fax

(877) 501-4190

NPI assigned

May 5, 2017

Last updated

May 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Carlos Fleites, M.D.

Title

President

Phone

(305) 856-1002

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1649706979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY",
            "address_2": "SUITE 302",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453216",
            "telephone_number": "305-856-1002",
            "fax_number": "877-501-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY",
            "address_2": "SUITE 302",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453216",
            "telephone_number": "305-856-1002",
            "fax_number": "877-501-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "FLEITES",
        "authorized_official_first_name": "JUAN CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-856-1002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.