Sacre Coeur Surgical PL

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME99835 Issued in FL

Legal business name

SACRE COEUR SURGICAL PL

Practice address

6705 S Red Rd Ste 418
South Miami, FL 33143-3644

Phone

(305) 669-4426

Fax

(305) 665-8736

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Joseph W Michienzi, MDNPI 1578758496

Title

Owner

Phone

(305) 662-0699

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph W Michienzi, M.D.

  • Plastic Surgery Physician
  • South Miami, FL
  • NPI 1578758496
  Medicare reassignment Authorized official
• Deirdre Margaret Marshall, M.D. ,F.A.C.S., FAAP

  • Plastic and Reconstructive Surgery Physician
  • Miami, FL
  • NPI 1508880733
  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1386882322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRICKELL AVE UNIT 310897",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332311245",
            "telephone_number": "305-662-0699",
            "fax_number": "305-665-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 418",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433644",
            "telephone_number": "305-669-4426",
            "fax_number": "305-665-8736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 62nd Ave Ste 2230",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "305-662-4111",
            "fax_number": "305-662-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACRE COEUR SURGICAL PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "MICHIENZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-662-0699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME99835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000752600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Saab, DMD
• Michael Hosam Saad-Naguib, M.D.
• Braulio Leoncio Sabates, M.D.F.A.C.S.
• Alex Sabo, D.O.
• Sabucedo Nephrology Group Inc
• Salma Isabella Sada
• Khaled Saed, MD
• Hannah Nicole Saenz, MS, RDN, LDN
• Sage Dental of South Miami, PLLC
• Pardeep Kumar Sajnani, M.D.

• Plastic Surgery Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.