Healthcare Provider Details

I. General information

NPI: 1699117234
Provider Name (Legal Business Name): ADANNYS DOMINGUEZ SARRIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13205 SW 137TH AVE STE 132
MIAMI FL
33186-5334
US

IV. Provider business mailing address

13205 SW 137TH AVE STE 132
MIAMI FL
33186-5334
US

V. Phone/Fax

Practice location:
  • Phone: 786-478-6369
  • Fax: 786-429-1704
Mailing address:
  • Phone: 305-744-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA46559
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: