NPIMap

Organization Active NPI

South Broward Hospital District

Doing business as Memorial Division of General Surgery

  • Surgery Physician
  • Pembroke Pines, FL
National Provider Identifier
1669713673
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOUTH BROWARD HOSPITAL DISTRICT
Doing business as
Memorial Division of General Surgery
Practice address
601 N Flamingo Rd Ste 409
Pembroke Pines, FL 33028-1012
Phone
(954) 844-4480
Fax
(954) 447-5344
NPI assigned
Mar 15, 2013
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Mario Salceda-Cruz
Title
Coo Memorial Physician Group
Phone
(954) 276-9312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

601 N Flamingo Rd Ste 409
Pembroke Pines, FL 33028-1012

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5603

Other practice location 1

17180 Royal Palm Blvd Ste 1
Weston, FL 33326-2394
Phone (954) 844-1617

Other practice location 2

20801 Biscayne Blvd Ste 203
Aventura, FL 33180-1492
Phone (954) 844-4480

Other practice location 3

8649 NW 186th St
Hialeah, FL 33015-2553
Phone (954) 276-1400

Other practice location 4

603 N Flamingo Rd Ste 250
Pembroke Pines, FL 33028-1013
Phone (954) 682-2580

Other practice location 5

20801 Biscayne Blvd Ste 200
Aventura, FL 33180-1422
Phone (954) 844-1617

Other practice location 6

20803 Biscayne Blvd Ste 204
Aventura, FL 33180-1429
Phone (954) 844-4480

Other practice location 7

12235 Pines Blvd
Pembroke Pines, FL 33026-4119
Phone (954) 265-9520

Other practice location 8

601 N Flamingo Rd Ste 411
Pembroke Pines, FL 33028-1012
Phone (305) 682-2580

Other practice location 9

4651 Sheridan St Ste 350
Hollywood, FL 33021-3425
Phone (954) 276-8559

Other practice location 10

2301 N University Dr Ste 103
Pembroke Pines, FL 33024-3617
Phone (954) 276-1400

Other practice location 11

601 N Flamingo Rd Ste 301
Pembroke Pines, FL 33028-1010
Phone (954) 844-9520

Other practice location 12

1951 SW 172nd Ave Ste 204
Miramar, FL 33029-5613
Phone (954) 538-5470

Other practice location 13

1150 N 35th Ave Ste 670
Hollywood, FL 33021-5435
Phone (954) 265-9520

Other practice location 14

900 Glades Rd Ste 500
Boca Raton, FL 33431-6421
Phone (954) 265-0000

Other names 1

  • Memorial Division of General Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000353 FL Part B Supplier - Clinic/Group Practice 8123927373 Receives reassigned benefits from 55 practitioners
Practice locations: Hollywood, FL; Weston, FL; Pembroke Pines, FL; Miramar, FL; Aventura, FL; Hialeah, FL; Boca Raton, FL

National Provider Directory

National Provider Directory
Part of
Memorial Hospital Divis

Locations

8649 NW 186th St
Hialeah, FL 33015
Phone (305) 652-2666

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Hospital MiramarMiramar, FL, CCN 100285 Hospital Operational/Managerial Control
Other		 Mar 23, 2005
Mar 23, 2005
Memorial Regional HospitalHollywood, FL, CCN 100038 Hospital Operational/Managerial Control Jul 1, 1966
Memorial Rehabilitation InstituteHollywood, FL, CCN 10T038 Hospital Operational/Managerial Control Jun 1, 2017
Memorial Regional HospitalHollywood, FL, CCN 10S038 Hospital Operational/Managerial Control
Other		 Jan 1, 2016
Jan 1, 2020
Memorial Hospital WestPembroke Pines, FL, CCN 100281 Hospital Operational/Managerial Control
Other		 Feb 18, 2022
Oct 14, 2013
Memorial Hospital PembrokePembroke Pines, FL, CCN 100230 Hospital Operational/Managerial Control
Other		 Apr 1, 2020
Apr 1, 2020
Memorial Manor Nursing HomePembroke Pines, FL, CCN 105668 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 3, 1989
Jun 3, 1989

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1669713673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5603",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 409",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281012",
            "telephone_number": "954-844-4480",
            "fax_number": "954-447-5344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17180 Royal Palm Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333262394",
            "country_code": "US",
            "telephone_number": "954-844-1617",
            "fax_number": "954-450-8584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20801 Biscayne Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801492",
            "country_code": "US",
            "telephone_number": "954-844-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8649 NW 186th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330152553",
            "country_code": "US",
            "telephone_number": "954-276-1400",
            "fax_number": "954-322-8115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 N Flamingo Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281013",
            "country_code": "US",
            "telephone_number": "954-682-2580",
            "fax_number": "305-705-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20801 Biscayne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801422",
            "country_code": "US",
            "telephone_number": "954-844-1617",
            "fax_number": "954-276-0584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20803 Biscayne Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801429",
            "country_code": "US",
            "telephone_number": "954-844-4480",
            "fax_number": "954-447-5344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12235 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330264119",
            "country_code": "US",
            "telephone_number": "954-265-9520",
            "fax_number": "954-265-9546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Flamingo Rd Ste 411",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281012",
            "country_code": "US",
            "telephone_number": "305-682-2580",
            "fax_number": "305-705-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4651 Sheridan St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213425",
            "country_code": "US",
            "telephone_number": "954-276-8559",
            "fax_number": "954-966-9762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N University Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330243617",
            "country_code": "US",
            "telephone_number": "954-276-1400",
            "fax_number": "954-322-8115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Flamingo Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281010",
            "country_code": "US",
            "telephone_number": "954-844-9520",
            "fax_number": "954-844-9525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1951 SW 172nd Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295613",
            "country_code": "US",
            "telephone_number": "954-538-5470",
            "fax_number": "954-538-5477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N 35th Ave Ste 670",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215435",
            "country_code": "US",
            "telephone_number": "954-265-9520",
            "fax_number": "954-265-9546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Glades Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316421",
            "country_code": "US",
            "telephone_number": "954-265-0000",
            "fax_number": "954-893-6347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2013-03-15",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "SALCEDA-CRUZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "COO MEMORIAL PHYSICIAN GROUP",
        "authorized_official_telephone_number": "954-276-9312"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Division of General Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Division of General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.