Healthcare Provider Details

I. General information

NPI: 1639089980
Provider Name (Legal Business Name): BAXTER MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 SW 142ND AVE
MIAMI FL
33175-8014
US

IV. Provider business mailing address

400 SW 125TH AVE
MIAMI FL
33184-1430
US

V. Phone/Fax

Practice location:
  • Phone: 786-715-6666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE ALEJANDRO BASTER
Title or Position: CEO
Credential: MD
Phone: 786-715-6666