Healthcare Provider Details

I. General information

NPI: 1922774561
Provider Name (Legal Business Name): PROSTATE SPECIALISTS OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 SW 87TH AVE STE 220B
MIAMI FL
33173-5458
US

IV. Provider business mailing address

7400 SW 87TH AVE STE 220B
MIAMI FL
33173-5458
US

V. Phone/Fax

Practice location:
  • Phone: 305-985-5606
  • Fax: 305-925-8119
Mailing address:
  • Phone: 305-985-5606
  • Fax: 305-925-8119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN F BAIGORRI
Title or Position: PARTNER
Credential: MD
Phone: 917-902-8735