Healthcare Provider Details

I. General information

NPI: 1073758298
Provider Name (Legal Business Name): BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 05/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 SW 87TH AVE STE 101
MIAMI FL
33173-5426
US

IV. Provider business mailing address

6855 RED ROAD STE 500
CORAL GABLES FL
33143-3623
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-9511
  • Fax: 305-271-0383
Mailing address:
  • Phone: 786-662-7980
  • Fax: 786-533-9403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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