Provider Demographics
NPI:1982012381
Name:ROTEMBERG PLASTIC SURGERY, P.L.L.C.
Entity Type:Organization
Organization Name:ROTEMBERG PLASTIC SURGERY, P.L.L.C.
Other - Org Name:SMAR AESTHETICS, P.L.L.C
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROTEMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-669-0184
Mailing Address - Street 1:7300 SW 62ND PL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4806
Mailing Address - Country:US
Mailing Address - Phone:305-669-0184
Mailing Address - Fax:305-669-0720
Practice Address - Street 1:7300 SW 62ND PL
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4806
Practice Address - Country:US
Practice Address - Phone:305-669-0184
Practice Address - Fax:305-669-0720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1012612086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty