Sandiego Medical Service Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9244232 Issued in FL

Legal business name

SANDIEGO MEDICAL SERVICE INC.

Practice address

11925 Bird Dr
Miami, FL 33175-3571

Phone

(305) 467-4442

NPI assigned

Apr 8, 2018

Last updated

Apr 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Luz Marina Racedeo, ARNP

Title

President

Phone

(305) 467-4442

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luz Marina Racedo-Martin

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1053814806
  NPD

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523145600000",
    "number": "1275030116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 BIRD DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753571",
            "telephone_number": "305-467-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 BIRD DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753571",
            "telephone_number": "305-467-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIEGO MEDICAL SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-04-08",
        "status": "A",
        "authorized_official_last_name": "RACEDEO",
        "authorized_official_first_name": "LUZ MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-467-4442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9244232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Iliana Sanders, RN
• Amrit Kaur Sandhu, DPM
• Jagteshwar Sandhu, MD
• Jaswinder Singh Sandhu, M.D.
• Satinder K Sandhu, MD
• Daniela Sandigo
• Camille Sandilands
• Scott Michael Sandilands, D.O.
• Sandino Gonzalez, MD
• Sandino Gonzalez, MD

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; 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.