MEDICARE: VASCARDIO AMBULATORY SURGICAL CENTER

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

General Provider Information

NPI Number	:	1952150419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCARDIO AMBULATORY SURGICAL CENTER

Provider Business Mailing Address
First Line	:	145 E 49TH ST STE B
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1846
Country	:	US
Telephone Number	:	305-575-1776
Fax Number	:	305-575-1780

Provider Business Practice Location Address
First Line	:	145 E 49TH ST STE B
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1846
Country	:	US
Telephone Number	:	305-575-1776
Fax Number	:	305-575-1780

Authorized Official
Title or Position	:	CREDENTIALING DIRECTOR
Name	:	JORGE GARCIA
Credential	:
Telephone Number	:	305-606-0337

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	06/17/2026

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