Healthcare Provider Details

I. General information

NPI: 1871312561
Provider Name (Legal Business Name): KIARA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 S RED RD STE 612
SOUTH MIAMI FL
33143-3649
US

IV. Provider business mailing address

5174 NW 83RD CT
DORAL FL
33166-5300
US

V. Phone/Fax

Practice location:
  • Phone: 305-477-5084
  • Fax: 833-973-4085
Mailing address:
  • Phone: 305-409-5378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11035521
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: