MEDICARE: UNIVERSITY OF MIAMI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	363L00000X	Nurse Practitioner
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1124768627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF MIAMI

Provider Business Mailing Address
First Line	:	41214 FISHER ISLAND DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33109-1255
Country	:	US
Telephone Number	:	305-503-8634
Fax Number	:

Provider Business Practice Location Address
First Line	:	41214 FISHER ISLAND DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33109-1255
Country	:	US
Telephone Number	:	305-503-8634
Fax Number	:

Authorized Official
Title or Position	:	MANAGER, PROVIDER ENROLLMENT
Name	:	CESIA A SANCHEZ
Credential	:
Telephone Number	:	305-243-6837

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	11/06/2023

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Directions to “UNIVERSITY OF MIAMI ” Practice Location

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