Provider Demographics
NPI:1891712808
Name:BATISTA, EDGAR ARTURO (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:ARTURO
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 1:7950 NW 53RD ST STE 108
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4681
Mailing Address - Country:US
Mailing Address - Phone:305-499-4200
Mailing Address - Fax:855-420-6315
Practice Address - Street 1:7950 NW 53RD ST STE 108
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-4681
Practice Address - Country:US
Practice Address - Phone:305-499-4200
Practice Address - Fax:855-420-6315
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 89120207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268968500Medicaid
FL268968500Medicaid
FLI08107Medicare UPIN
FL37519YMedicare PIN