Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jorge Vito Lastayo, PA-C

Individual provider Surgical Physician Assistant · NPI 1437600913

Jorge Vito Lastayo, PA-C is a Physician Assistant in Miami, Florida. Qualified in 2016, 10 years ago. Practices with Baptist Health Medical Group Oncology LLC, a 204-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8900 N Kendall Dr
Miami, FL 33176-2118
Phone: (786) 596-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8900 N Kendall Dr, Miami, FL 33176-2118 — (786) 596-2000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9109821 (FL)

Record details

NPI number1437600913
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 19, 2016
Last updated in NPPESFebruary 10, 2022
Certification dateJanuary 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Baptist Health Medical Group Oncology Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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