Provider Demographics
NPI:1760617971
Name:BATISTA, OSLAY JOSE (MD)
Entity Type:Individual
Prefix:
First Name:OSLAY
Middle Name:JOSE
Last Name:BATISTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3329 SW 143RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7432
Mailing Address - Country:US
Mailing Address - Phone:305-608-2474
Mailing Address - Fax:305-631-2161
Practice Address - Street 1:3329 SW 143RD PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-7432
Practice Address - Country:US
Practice Address - Phone:305-608-2474
Practice Address - Fax:305-631-2161
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106547207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine