DEREK LAWRENCE URQUIZA
NPI 1649991498
Anesthesiologist Assistant in Fort Lauderdale, FL

Q: What is Derek Urquiza's NPI number?

The NPI number for Derek Urquiza is 1649991498. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Q: What is Derek Urquiza's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Urquiza was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2022Accepts Medicare Assignment

1525 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309(800) 437-2672 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Derek Lawrence Urquiza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK LAWRENCE URQUIZA (NPI 1649991498) is an individual anesthesiologist assistant in Fort Lauderdale, Florida, licensed in Florida (AA750) and active in the NPI registry since September 2022. He is affiliated with Memorial Hospital Miramar and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649991498

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameDEREK LAWRENCE URQUIZA

Location Address1525 W CYPRESS CREEK RDFort Lauderdale, FL 33309-1831

Mailing Address501 Nw 88th AvePembroke Pines, FL 33024-6527 · (954) 614-0710

Phone(800) 437-2672

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 9, 2022

NPPES CertifiedSeptember 9, 2022

✔ NPI 1649991498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA750

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1525 W CYPRESS CREEK RD, Fort Lauderdale, FL 33309

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek Lawrence Urquiza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759757370

PECOS Enrollment IDI20221021001167

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100285

Location1901 SW 172nd AveMiramar, FL 33029 · Broward County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSANDRA WAR

Anesthesiologist Assistant