Healthcare Provider Details

I. General information

NPI: 1942503727
Provider Name (Legal Business Name): ALEIDA EUGENIA SANABRIA ARNP NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 01/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3641 S MIAMI AVE SUITE 221 BAYSIDE PAVILLON
MIAMI FL
33133-4204
US

IV. Provider business mailing address

18346 SW 136TH CT
MIAMI FL
33177-7153
US

V. Phone/Fax

Practice location:
  • Phone: 305-285-2642
  • Fax:
Mailing address:
  • Phone: 305-458-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9266550
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: