Healthcare Provider Details

I. General information

NPI: 1639364144
Provider Name (Legal Business Name): CARLOS A. SESIN, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD SUITE 550
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

1801 PONCE DE LEON BLVD
CORAL GABLES FL
33134-4418
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-6766
  • Fax: 305-531-6712
Mailing address:
  • Phone: 305-531-6766
  • Fax: 305-531-6712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME89368
License Number StateFL

VIII. Authorized Official

Name: CARLOS ANTONIO SESIN
Title or Position: DIRECTOR
Credential: MD
Phone: 305-531-6766