MEDICARE: MIAMI ONCOLOGY SPECIALIST OUTPATIENT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1073474938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI ONCOLOGY SPECIALIST OUTPATIENT SERVICES LLC

Provider Business Mailing Address
First Line	:	9750 SW 45TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-5762
Country	:	US
Telephone Number	:	305-710-0560
Fax Number	:

Provider Business Practice Location Address
First Line	:	7963 NW 2ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-8000
Country	:	US
Telephone Number	:	305-710-0560
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. VICTOR M PASTRANA
Credential	:	MD
Telephone Number	:	305-710-0560

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	05/21/2026

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