Healthcare Provider Details

I. General information

NPI: 1831625250
Provider Name (Legal Business Name): MADELIN SAA SANCHEZ PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3143 NE 163RD ST
NORTH MIAMI BEACH FL
33160-4463
US

IV. Provider business mailing address

140 S DIXIE HWY APT 623
HOLLYWOOD FL
33020-7321
US

V. Phone/Fax

Practice location:
  • Phone: 305-343-1365
  • Fax: 305-705-2907
Mailing address:
  • Phone: 305-244-7448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA26980
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: