Individual provider Active NPI

Mariselis Rosa-Sanchez, M.D.

  • Pediatric Nephrology Physician
  • South Miami, FL
National Provider Identifier
1205142171
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
ME128266 Issued in FL
Practice address
6200 Sunset Dr Ste 303
South Miami, FL 33143-4829
Phone
(305) 661-4318
Fax
(833) 464-4217
NPI assigned
Aug 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X ME128266 FL Primary

Addresses

Primary practice location

6200 Sunset Dr Ste 303
South Miami, FL 33143-4829

Mailing address

5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160810001532 FL Practitioner - Pediatric Medicine 0840584082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidz Medical Services IncGroup PAC ID 3678536240, 24 clinicians

Practice addresses (Care Compare)

5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone 3056611515243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128266FLMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Medical Services, Inc Pediatric Nephrology CurrentSince Jul 6, 2016 Accepting new patients
Kidz Medical Services, Inc Pediatric Nephrology CurrentSince Jul 6, 2016 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 206
Boca Raton, FL 33428
Phone (561) 477-0197

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

3100 SW 62nd Ave
Ste 301
Miami, FL 33155
Phone (305) 662-8386

6200 Sunset Dr
Ste 303
South Miami, FL 33143
Phone (305) 661-4318

Interoperability endpoints

  • Direct secure messaging: mariselis.rosa-sanchez.1@27004.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1205142171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462423",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 303",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "305-661-4318",
            "fax_number": "833-464-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA-SANCHEZ",
        "first_name": "MARISELIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-29",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "FL",
            "license": "ME128266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.