Healthcare Provider Details

I. General information

NPI: 1083350334
Provider Name (Legal Business Name): HOSANNA MEDICAL CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13701 SW 88TH ST STE 303-2
MIAMI FL
33186-1305
US

IV. Provider business mailing address

12300 SW 40TH ST
MIAMI FL
33175-3051
US

V. Phone/Fax

Practice location:
  • Phone: 305-842-2772
  • Fax: 877-771-2627
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MIRAIDA SANCHEZ
Title or Position: OWNER/ APRN
Credential:
Phone: 786-759-5992