Sandra Nairuby De Jesus Medina, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME138843 Issued in FL

Practice address

15077 S Dixie Hwy
Miami, FL 33176-7930

Phone

(786) 293-3200

Fax

(305) 232-9082

NPI assigned

Jun 3, 2016

Last updated

Aug 8, 2025By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kendall Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Miami, FL
  • NPI 1497885834
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC

  dba Pediatric Associates

  • Pediatrics Physician
  • Palmetto Bay, FL
  • NPI 1760739833
  NPD (past)
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1134578859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "786-293-3200",
            "fax_number": "305-232-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15077 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767930",
            "telephone_number": "786-293-3200",
            "fax_number": "305-232-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS MEDINA",
        "first_name": "SANDRA",
        "middle_name": "NAIRUBY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME138843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124614200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher De Haydu, MD
• Melody De Heusch Lara, DC
• De Hostos Senior Center Inc
• Carlos E De Hostos, RPH.
• De Jeannette Healthcare Corp
• Maria Mercedes De Jesus Valdes, MD
• Annie De Jesus, SLP
• Christian De Jesus, D.M.D.
• Michelle De Jesus
• Nidia Haydee De Jesus, M.D., PH.D.

• Pediatrics Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.