Miami Aesthetic Surgery Associates LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME116714 Issued in FL

Legal business name

MIAMI AESTHETIC SURGERY ASSOCIATES LLC

Practice address

51 SW 42ND Ave
Coral Gables, FL 33134-1770

Phone

(305) 514-0318

NPI assigned

Oct 31, 2017

Last updated

Mar 17, 2018By 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

Oliver Chang, MD

Title

Owner

Phone

(305) 514-0318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1689186561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SW 42ND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341770",
            "telephone_number": "305-514-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SW 42ND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341770",
            "telephone_number": "305-514-0318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3659 S Miami Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334227",
            "country_code": "US",
            "telephone_number": "305-514-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIAMI AESTHETIC SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-514-0318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME116714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.