Healthcare Provider Details

I. General information

NPI: 1073474938
Provider Name (Legal Business Name): MIAMI ONCOLOGY SPECIALIST OUTPATIENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7963 NW 2ND ST
MIAMI FL
33126-8000
US

IV. Provider business mailing address

9750 SW 45TH ST
MIAMI FL
33165-5762
US

V. Phone/Fax

Practice location:
  • Phone: 305-710-0560
  • Fax:
Mailing address:
  • Phone: 305-710-0560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTOR M PASTRANA
Title or Position: OWNER
Credential: MD
Phone: 305-710-0560