Healthcare Provider Details

I. General information

NPI: 1285480954
Provider Name (Legal Business Name): SAHILY DEL RISCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2024
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 SW 137TH AVE STE 205
MIAMI FL
33175-6312
US

IV. Provider business mailing address

8855 NW 180TH TER
HIALEAH FL
33018-6504
US

V. Phone/Fax

Practice location:
  • Phone: 305-537-9635
  • Fax:
Mailing address:
  • Phone: 786-973-3210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11033163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: