Sandra Maria Ujueta, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102547 Issued in FL

Practice address

5201 Hollywood Blvd
2ND Floor
Hollywood, FL 33021-6422

Phone

(954) 981-5200

Fax

(954) 981-1614

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073660775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 NW 19TH ST",
            "address_2": "SUITE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261200",
            "telephone_number": "305-500-2009",
            "fax_number": "305-500-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HOLLYWOOD BLVD",
            "address_2": "2ND FLOOR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216422",
            "telephone_number": "954-981-5200",
            "fax_number": "954-981-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UJUETA",
        "first_name": "SANDRA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICEN",
            "identifier": "PA9102547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Nichol Tyler, M.D.
• Samantha Railey Tyler, APRN, RN
• Keisha Udorji, APRN
• Jeffrey Craig Uecker, M.D., P.A.
• Naomi Eliza Ufberg, M.D.
• Ucha C Ukpai, DPT
• Jakob Ulfarsson
• Elke Ojeda Ulloa, PA-C
• Ultra Health Care Inc
• Ultra Medical and Rehab Center Inc

• Medical Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.