Organization Active NPI

Sandy D Espinosa MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1366162729
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SANDY D ESPINOSA MD PA
Practice address
900 SW 97TH Ave
Miami, FL 33174-2935
Phone
(305) 676-7762
NPI assigned
Aug 29, 2022
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Sandy Espinosa Hernandez, MDNPI 1821627829
Title
Owner
Phone
(305) 479-7038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

900 SW 97TH Ave
Miami, FL 33174-2935

Mailing address

PO Box 557916
Miami, FL 33255-7916
Phone (305) 676-7762

Other practice location 1

1475 W 49th Pl
Hialeah, FL 33012-3113
Phone (305) 558-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031001596 FL Part B Supplier - Clinic/Group Practice 5991172256 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1366162729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557916",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557916",
            "telephone_number": "305-676-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742935",
            "telephone_number": "305-676-7762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 W 49th Pl",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123113",
            "country_code": "US",
            "telephone_number": "305-558-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDY D ESPINOSA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA HERNANDEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-479-7038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.