Healthcare Provider Details

I. General information

NPI: 1134999675
Provider Name (Legal Business Name): SANDRA MUNOZ RANGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10733 SW 225TH TER
MIAMI FL
33170-6571
US

IV. Provider business mailing address

10733 SW 225TH TER
MIAMI FL
33170-6571
US

V. Phone/Fax

Practice location:
  • Phone: 786-457-2233
  • Fax:
Mailing address:
  • Phone: 786-457-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: