Healthcare Provider Details

I. General information

NPI: 1952150419
Provider Name (Legal Business Name): VASCARDIO AMBULATORY SURGICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E 49TH ST STE B
HIALEAH FL
33013-1846
US

IV. Provider business mailing address

145 E 49TH ST STE B
HIALEAH FL
33013-1846
US

V. Phone/Fax

Practice location:
  • Phone: 305-575-1776
  • Fax: 305-575-1780
Mailing address:
  • Phone: 305-575-1776
  • Fax: 305-575-1780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JORGE GARCIA
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 305-606-0337