MEDICARE: BAPTIST SURGERY AND ENDOSCOPY CENTERS 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	261QA1903X	Ambulatory Surgical Clinic/Center	1239	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2558072	OTHER	FL	UNITED HEALTHCARE
3	1521	OTHER	FL	MEDICA
4	298398	OTHER	FL	AVMED
5	53308	OTHER	FL	NEIGHBORHOOD HEALTH
6	NON-PAR-1211778	OTHER	FL	AETNA HMO
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912982349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC

Provider Business Mailing Address
First Line	:	6855 RED RD
Second Line	:	STE 500
City	:	CORAL GABLES
State	:	FL
Zip	:	33143-3623
Country	:	US
Telephone Number	:	786-662-7980
Fax Number	:	786-533-9403

Provider Business Practice Location Address
First Line	:	6200 SUNSET DR STE 200
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4829
Country	:	US
Telephone Number	:	786-662-5520
Fax Number	:	786-662-5525

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	NANCY BATISTA-RODRIGUEZ
Credential	:
Telephone Number	:	786-662-7111

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	05/11/2018

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Directions to “BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC ” Practice Location

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