Healthcare Provider Details

I. General information

NPI: 1568963189
Provider Name (Legal Business Name): BAPTIST SURGERY AND ENDOSCOPY CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 ALTON ROAD STE 130
MIAMI BEACH FL
33139
US

IV. Provider business mailing address

6855 RED ROAD STE 600
CORAL GABLES FL
33143-3623
US

V. Phone/Fax

Practice location:
  • Phone: 786-662-7111
  • Fax:
Mailing address:
  • Phone: 786-662-7111
  • Fax:

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: NANCY BATISTA-RODRIGUEZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 786-662-7111