=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720320351
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OSLAY BATISTA MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2013
-----------------------------------------------------
Last Update Date | 03/21/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3329 SW 143RD PL
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33175-7432
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-702-9441
-----------------------------------------------------
Fax | 305-702-9442
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3329 SW 143RD PL
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33175-7432
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-702-9441
-----------------------------------------------------
Fax | 305-702-9442
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | OSLAY BATISTA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 305-702-9441
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0300X
-----------------------------------------------------
Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | ME106547
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------