MEDICARE: CISNE HEALTH, LLC

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	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1982397881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CISNE HEALTH, LLC

Provider Business Mailing Address
First Line	:	2000 PONCE DE LEON BLVD STE 600
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 PONCE DE LEON BLVD STE 600
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4422
Country	:	US
Telephone Number	:	305-878-4634
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERIK SANCHEZ
Credential	:
Telephone Number	:	305-878-4634

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	06/13/2023

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Directions to “CISNE HEALTH, LLC ” Practice Location

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