Provider Demographics
NPI:1982184826
Name:NATIONAL INSTITUTE OF SURGICAL ASSISTANTS
Entity Type:Organization
Organization Name:NATIONAL INSTITUTE OF SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASSISTANT EMPLOYER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEZA-VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:FSA-L
Authorized Official - Phone:888-504-6472
Mailing Address - Street 1:936 SW 1ST AVE STE 838
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4520
Mailing Address - Country:US
Mailing Address - Phone:888-504-6472
Mailing Address - Fax:888-356-1032
Practice Address - Street 1:936 SW 1ST AVE STE 838
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4520
Practice Address - Country:US
Practice Address - Phone:888-504-6472
Practice Address - Fax:888-965-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-20
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty