Healthcare Provider Details

I. General information

NPI: 1508595315
Provider Name (Legal Business Name): UNIVERSITY OF MIAMI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 SW 8TH ST STE 3
MIAMI FL
33130-3784
US

IV. Provider business mailing address

86 SW 8TH ST STE 3
MIAMI FL
33130-3784
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CESIA A SANCHEZ
Title or Position: PROVIDER ENROLLMENT MANAGER
Credential:
Phone: 305-243-6837