NPIMap

Organization Active NPI

Guidewell Sanitas I, LLC

  • Mammography Clinic/Center
  • Lauderdale Lakes, FL
National Provider Identifier
1427656529
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
GUIDEWELL SANITAS I, LLC
Practice address
4850 W. Oakland Blvd
Unit #136
Lauderdale Lakes, FL 33313-7277
Phone
(844) 665-4827
NPI assigned
Oct 12, 2020
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GUIDEWELL SANITAS I, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Juan Diego Estrada, MD
Title
Ceo
Phone
(786) 882-2869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

4850 W. Oakland Blvd
Unit #136
Lauderdale Lakes, FL 33313-7277

Mailing address

8400 NW 33Rd St Ste 201
Doral, FL 33122-1937
Phone (786) 882-2869

National Provider Directory

National Provider Directory
Tax ID family
Sanitas Plantation Idtc86 organizations share this tax ID, including this one
Part of
Sanitas Plantation Idtc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1427656529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NW 33RD ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221937",
            "telephone_number": "786-882-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W. OAKLAND BLVD",
            "address_2": "UNIT #136",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137277",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDEWELL SANITAS I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUIDEWELL SANITAS I, LLC",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DIEGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-882-2869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.