MEDICARE: UNIVERSITY OF MIAMI

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	291U00000X	Clinical Medical Laboratory	10D0692983	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790846087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF MIAMI

Provider Business Mailing Address
First Line	:	1600 NW 10TH AVE
Second Line	:	RMSB ROOM 2055-2064
City	:	MIAMI
State	:	FL
Zip	:	33136-1015
Country	:	US
Telephone Number	:	305-243-7501
Fax Number	:	305-243-9847

Provider Business Practice Location Address
First Line	:	1444 NW 9TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1406
Country	:	US
Telephone Number	:	305-243-6837
Fax Number	:	305-243-8470

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	12/31/2019

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Directions to “UNIVERSITY OF MIAMI ” Practice Location

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