Healthcare Provider Details

I. General information

NPI: 1962332171
Provider Name (Legal Business Name): SANAXIS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13535 SW 184TH TER
MIAMI FL
33177-6262
US

IV. Provider business mailing address

10071 SW 16TH ST
MIAMI FL
33165-7435
US

V. Phone/Fax

Practice location:
  • Phone: 786-936-1480
  • Fax:
Mailing address:
  • Phone: 786-936-1480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER QUINTANA
Title or Position: OWNER
Credential: APRN
Phone: 305-967-9811