# ANAISYS M. BALLESTEROS, D.O., P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750488326
- **Authorized official:** DR. ANAISYS MARIA BALLESTEROS D.O. (PRESIDENT)
- **Authorized official phone:** (305) 275-6202

## Contact information

- **Practice address:** 9290 SW 72ND ST, SUITE 105, MIAMI, FL 33173-3236
- **Practice address phone:** (305) 275-6202
- **Practice address fax:** (305) 275-6203
- **Mailing address:** 9290 SW 72ND ST, SUITE 105, MIAMI, FL 33173-3236
- **Mailing address phone:** (305) 275-6202
- **Mailing address fax:** (305) 275-6203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS8354 | FL | Yes |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 08/22/2020