Individual provider Active NPI

Sandra Maria Cristino

  • Surgical Assistant
  • Hollywood, FL
National Provider Identifier
1285163360
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
17-313 Issued in FL
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
17-313FLMDSurgical 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.

Verify at the official NPI Registry.