Active NPI
Sandra Maria Cristino
- Surgical Assistant
- Hollywood, FL
National Provider Identifier
1285163360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 17-313
- Practice address
- 5300 Washigton Street Apt.V312
Hollywood, FL 33021-7761 - Phone
- (954) 889-4559
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 17-313 | FL | Primary |
Addresses
Primary practice location
5300 Washigton Street Apt.V312
Hollywood, FL 33021-7761
Mailing address
5300 Washigton Street Apt.V312
Hollywood, FL 33021-7761
Phone (954) 889-4559
Other practice location 1
5300 WASHIGTON St. apt V 312
Hollywood, FL 33021-7761
Other practice location 2
5300 WASHIGTON Street Apt.V312
Hollywood, FL 33021-7761
Phone (954) 889-4559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-313 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285163360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 WASHIGTON STREET APT.V312",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217761",
"telephone_number": "954-889-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 WASHIGTON STREET APT.V312",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217761",
"telephone_number": "954-889-4559"
}
],
"practiceLocations": [
{
"address_1": "5300 WASHIGTON St. apt V 312",
"address_purpose": "LOCATION",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217761",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5300 WASHIGTON Street Apt.V312",
"address_purpose": "LOCATION",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217761",
"country_code": "US",
"telephone_number": "954-889-4559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRISTINO",
"first_name": "SANDRA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "17-313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.