Provider Demographics
NPI:1093543639
Name:PS ESSENTIAL SERVICES LLC
Entity type:Organization
Organization Name:PS ESSENTIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SUAREZ MOSQUERA
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:786-707-0560
Mailing Address - Street 1:11200 BISCAYNE BLVD APT 133
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3448
Mailing Address - Country:US
Mailing Address - Phone:786-707-0560
Mailing Address - Fax:
Practice Address - Street 1:11200 BISCAYNE BLVD APT 133
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3448
Practice Address - Country:US
Practice Address - Phone:786-707-0560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty