Advanced Professional Surgical Services

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

04-178 Issued in FL

Legal business name

ADVANCED PROFESSIONAL SURGICAL SERVICES

Practice address

905 NW 97TH Ave Apt 308
Miami, FL 33172-2358

Phone

(786) 326-0576

Fax

(305) 222-9155

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Jorge Gamoneda, SACNPI 1730519836

Title

President

Phone

(786) 326-0576

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Gamoneda, SA-C

  • Surgical Assistant
  • Miami, FL
  • NPI 1730519836
  NPD Authorized official

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1952896953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 NW 97TH AVE APT 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722358",
            "telephone_number": "786-326-0576",
            "fax_number": "305-222-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NW 97TH AVE APT 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722358",
            "telephone_number": "786-326-0576",
            "fax_number": "305-222-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROFESSIONAL SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "GAMONEDA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-326-0576",
        "authorized_official_credential": "SAC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "04-178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.