Sandra Y Mitjans
Adolescent Medicine
4305 E 8th Ave Ste E
Hialeah
, Florida 33013
Sandra Y Mitjans
Adolescent Medicine
4305 E 8th Ave Ste E
Hialeah
, Florida 33013
(305) 769-0473
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Sandra Y Mitjans
- 2843 Sw 174th Ave
- Miramar, FL
- Zip : 33029-5549
- Fax : (305) 769-0473
- Phone : (305) 769-5601
Second Address
- Sandra Y Mitjans
- 4305 E 8th Ave Ste E
- Hialeah, FL
- Zip : 33013
- Fax : (305) 769-0473
- Phone : (305) 769-5601
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | ME40785 | FL |
National Provider Identifier
| NPI | 1053428383 |
|---|---|
| Provider Name | Sandra Y Mitjans |
| First Address | Miramar, FL 33029-5549 |
| Second Address | Hialeah, FL 33013 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2006 |
| Last Update Date | 24/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 056822800 | (05) | FL |
| D27960 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.