MEDICARE: DR. LIANA SACRE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ACN346	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336307040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIANA SACRE MD

Provider Business Mailing Address
First Line	:	2026 SW 105TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7949
Country	:	US
Telephone Number	:	305-517-7582
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1609
Country	:	US
Telephone Number	:	305-575-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	05/28/2026

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