Organization Active NPI

Surgical Service of Dade County Corp

  • Specialist
  • Hialeah, FL
National Provider Identifier
1881791341
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME67164 Issued in FL
Legal business name
SURGICAL SERVICE OF DADE COUNTY CORP
Practice address
1165 W 49TH St Ste 208
Hialeah, FL 33012-3373
Phone
(305) 512-5480
Fax
(305) 512-5489
NPI assigned
Sep 19, 2006
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Mrs. Laura Leiva
Title
Physician Consultant
Phone
(305) 458-9895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME67164 FL Primary

Addresses

Primary practice location

1165 W 49TH St Ste 208
Hialeah, FL 33012-3373

Mailing address

1165 W 49TH St Ste 208
Hialeah, FL 33012-3373
Phone (305) 512-5480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1881791341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 W 49TH ST STE 208",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123373",
            "telephone_number": "305-512-5480",
            "fax_number": "305-512-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 W 49TH ST STE 208",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123373",
            "telephone_number": "305-512-5480",
            "fax_number": "305-512-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SERVICE OF DADE COUNTY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "LEIVA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHYSICIAN CONSULTANT",
        "authorized_official_telephone_number": "305-458-9895",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME67164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.