Provider Demographics
NPI:1790057503
Name:BAPTIST HOSPITAL
Entity Type:Organization
Organization Name:BAPTIST HOSPITAL
Other - Org Name:SOUTH MIAMI HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OF CARDIOTHORACIC SURGERY
Authorized Official - Prefix:DR
Authorized Official - First Name:NIBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-439-4448
Mailing Address - Street 1:22181 SW 92ND PL
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1216
Mailing Address - Country:US
Mailing Address - Phone:786-256-3969
Mailing Address - Fax:
Practice Address - Street 1:22181 SW 92ND PL
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1216
Practice Address - Country:US
Practice Address - Phone:786-256-3969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9180881282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital