Healthcare Provider Details

I. General information

NPI: 1811843683
Provider Name (Legal Business Name): HOMESTEAD ENDOSCOPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 WASHINGTON AVE
HOMESTEAD FL
33030-6036
US

IV. Provider business mailing address

5101 SW 8TH ST STE 201
CORAL GABLES FL
33134-2442
US

V. Phone/Fax

Practice location:
  • Phone: 305-359-5037
  • Fax: 786-509-5544
Mailing address:
  • Phone: 305-359-5037
  • Fax: 786-509-5544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER VELOSO
Title or Position: PRESIDENT
Credential: MD
Phone: 305-359-5037