PREMIUM SURGICAL SERVICES, L.L.C. (NPI# 1205937117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205937117 |
| Entity Type | Organization |
| Organization Name | PREMIUM SURGICAL SERVICES, L.L.C. |
| Practice Address |
11760 Sw 40th St Suite 729 Miami FL 33175-3582 |
| Practice Telephone | 3055592779 |
| Practice Fax Number | 3055596119 |
| Mailing Telephone | 3055592779 |
| Mailing Fax Number | 3055596119 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | MRS. MERCEDES AGUIRRE-TUDELA (PRESIDENT) |
| Authorized Official Telephone | 3055592779 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
FL | Technologists, Technicians & Other Technical Service Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
FL | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
FL | Allopathic & Osteopathic Physicians |
| Street Address |
11760 SW 40TH ST SUITE 729 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200340 | Morris Kravecas | Otolaryngology | 11760 Sw 40th St, # 743, Miami, FL 33175-3582 | 2005-07-28 |
| 1053893222 | Julio Henry Acosta | Nurse Practitioner | 11760 Sw 40th St, Miami, FL 33175-3582 | 2018-09-04 |
| 1174021414 | Jack Marek Klem, Md Pa | Neurological Surgery | 11760 Sw 40th St, Miami, FL 33175-3582 | 2018-01-31 |
| 1801241658 | Eric Runyon, D.o., P.a. | Obstetrics & Gynecology | 11760 Sw 40th St, Suite 654, Miami, FL 33175-3582 | 2016-04-29 |
| 1629466081 | Fuad S. Ashkar, Md | Internal Medicine | 11760 Sw 40th St, 535, Miami, FL 33175-3582 | 2015-01-07 |
| 1992102198 | Elizabeth Martinez Torres | Nurse Practitioner | 11760 Sw 40th St, Suite 342, Miami, FL 33175-3582 | 2014-12-03 |
| 1790116408 | South Florida Healthcare LLC | Internal Medicine | 11760 Sw 40th St, Suite 616, Miami, FL 33175-3582 | 2013-12-05 |
| 1922443407 | Senior Medical Care Group LLC | Internal Medicine | 11760 Sw 40th St, Suite 616, Miami, FL 33175-3582 | 2013-05-09 |
| 1336489368 | Luis Alejandro Chang Chio | Acupuncturist | 11760 Sw 40th St, Suite: 448, Miami, FL 33175-3582 | 2013-02-28 |
| 1962755165 | Jason Daniel Wolf | Urology | 11760 Sw 40th St, Suite 403, Miami, FL 33175-3582 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033150321 | Julio Antonio Batista | Obstetrics & Gynecology | 8485 Sw 8th St, Miami, FL 33144 | 2006-06-09 |
| 1760014641 | Collaborative Womens Care | Obstetrics & Gynecology | 3661 S Miami Ave Ste 602, Miami, FL 33133-4248 | 2020-02-07 |
| 1447460738 | Gregory Adam Guell | Obstetrics & Gynecology | 3659 S Miami Ave, Suite 5005, Miami, FL 33133-4227 | 2007-05-23 |
| 1447298914 | Chellappah Maheswaran | Obstetrics & Gynecology | 1611 Nw 12th Ave, Room 4172, Miami, FL 33136-1005 | 2006-06-04 |
| 1225021694 | Isidro R Martinez | Obstetrics & Gynecology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593015 | Iriabeth Joanna Ring | Obstetrics & Gynecology | 1207 Osprey Nest Cir, Groveland, FL 34736-2219 | 2019-08-18 |
| 1326415951 | Jackie Burgess | Obstetrics & Gynecology | 20230 Estero Gardens Cir, Unit 206, Estero, FL 33928-3457 | 2015-08-31 |
| 1629483722 | Sunshine Obstetric Specialists, M.d., P.a. | Obstetrics & Gynecology | 7421 Conroy Windermere Rd, Orlando, FL 32835-2758 | 2014-06-26 |
| 1558775650 | Angela Guzman | Obstetrics & Gynecology | 1116 Lucerne Terrace, Orlando, FL 32806 | 2014-06-17 |
| 1225468085 | Marsha Lachaud | Obstetrics & Gynecology | 3627 University Blvd S Ste 200, Jacksonville, FL 32216-4256 | 2013-11-14 |
| 1992148035 | Laura R Peter | Obstetrics & Gynecology | 1577 Roberts Dr Ste 323, Jacksonville Beach, FL 32250-3266 | 2013-04-08 |
| 1336436815 | Felix Andarsio, D.o.,p.a. | Obstetrics & Gynecology | 1397 Medical Park Blvd Ste 440, Wellington, FL 33414-3188 | 2011-07-05 |
| 1093028938 | Carlos Alberto Rodriguez | Obstetrics & Gynecology | 925 Ne 30th Ter Ste 304, Homestead, FL 33033-7614 | 2010-07-21 |
| 1689994964 | Michelle Ranes | Obstetrics & Gynecology | 1401 Lucerne Ter, 2nd Floor Mp 818, Orlando, FL 32806-2014 | 2010-06-09 |
| 1336464619 | Lake County Preferred Obgyn, Inc. | Obstetrics & Gynecology | 2766 Dora Ave, Tavares, FL 32778-4970 | 2010-03-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PREMIUM SURGICAL SERVICES, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.