Provider Demographics
NPI:1043492721
Name:MIAMI INTERNATIONAL HAND SURGICAL SERVICES
Entity Type:Organization
Organization Name:MIAMI INTERNATIONAL HAND SURGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:GABY
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-874-4615
Mailing Address - Street 1:100 NW 170TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5513
Mailing Address - Country:US
Mailing Address - Phone:786-261-0222
Mailing Address - Fax:786-594-4650
Practice Address - Street 1:100 NW 170TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5513
Practice Address - Country:US
Practice Address - Phone:786-261-0222
Practice Address - Fax:786-594-4650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-04
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAR327Medicare PIN