JORGE VITO LASTAYO (NPI# 1437600913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437600913 |
| Entity Type | Individual |
| Full Name | JORGE VITO LASTAYO |
| Credential | PA-C |
| Practice Address |
8900 N Kendall Dr Miami FL 33176-2118 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 7865962000 |
| Mailing Telephone | 9542765685 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9109821 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8900 N Kendall Dr, Miami, FL 331762118 | 7865962000 |
| Street Address |
8900 N KENDALL DR |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068715 | Marlene Patricia Carbonell | Specialist | 8900 N Kendall Dr, Radiology Associates of South Florida, Miami, FL 33176 | 2005-07-28 |
| 1982204541 | Jessica Ann Vasquez | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-31 |
| 1285233833 | Maria Eloisa Eleuterio Ortega | Registered Nurse | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-23 |
| 1033717814 | Apryl Alexandra Sharon Thomas | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-13 |
| 1952914756 | Arati Panda | Nurse Anesthetist, Certified Registered | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-08-31 |
| 1033720339 | Jessica Angela Pappanikou | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-08-11 |
| 1679181432 | Kiran Gangwani | Genetic Counselor, MS | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-07-17 |
| 1831707694 | Alejandra Margarita Cantu Villarreal | Genetic Counselor, MS | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-07-17 |
| 1679196695 | Leosvel Fraga | Anesthesiologist Assistant | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-05-26 |
| 1235751843 | Jon Aksu | Counselor | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721552 | Carlos G Torres Dugarte | Physician Assistant | 9521 Fontainebleau Blvd Apt 424, Miami, FL 33172-6829 | 2018-08-25 |
| 1639672967 | Roberto Rodriguez Milanes | Physician Assistant | 1629 Nw 14th St Apt 911, Miami, FL 33125-2673 | 2018-03-13 |
| 1003316118 | Clelia Isabel Soto De Cayama | Physician Assistant | 7310 Sw 132nd Ave, Miami, FL 33183-3468 | 2018-02-15 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1174055156 | Jarvis Viza | Physician Assistant | 20121 Sw 117th Ave, Miami, FL 33177 | 2017-03-30 |
| 1942658182 | Acosta Arnp, Pa. | Physician Assistant | 7800 Sw 87th Ave Ste A320, Miami, FL 33173-3570 | 2016-05-27 |
| 1417311622 | Ivan Lavandera Rodriguez | Physician Assistant | 7071 Sw 129th Ave, Apt 8, Miami, FL 33183-5299 | 2016-04-13 |
| 1215393848 | Andres Vence Nunez | Physician Assistant | 9040 Sw 125th Ave, Apt D 208, Miami, FL 33186-7103 | 2016-01-12 |
| 1710385430 | Guillermo Lazaro Garcia | Physician Assistant | 13958 Sw 160th Ter, Miami, FL 33177-1906 | 2014-12-11 |
| 1033547856 | Francisco A Perez-loreto | Physician Assistant | 11912 Sw 126th Ln, Miami, FL 33186-5196 | 2013-10-15 |
| Find all providers in MIAMI | ||||
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| 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.