MEDICARE: SAILIS PAGARIZABAL NUNEZ

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11042007	FL

General Provider Information

NPI Number	:	1447114228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAILIS PAGARIZABAL NUNEZ

Provider Business Mailing Address
First Line	:	8275 SW 152ND AVE APT 416
Second Line	:	APT 416
City	:	MIAMI
State	:	FL
Zip	:	33193-4045
Country	:	US
Telephone Number	:	786-516-1419
Fax Number	:

Provider Business Practice Location Address
First Line	:	8275 SW 152ND AVE APT 416
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-4045
Country	:	US
Telephone Number	:	786-516-1419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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