Individual provider Active NPI

Ileana Acebo-Sanchez, P.A.-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1568410330
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9100764 Issued in FL
Practice address
2970 SW 8TH St
Miami, FL 33135-2827
Phone
(305) 649-9092
Fax
(305) 649-9093
NPI assigned
May 4, 2006
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9100764 FL Primary

Addresses

Primary practice location

2970 SW 8TH St
Miami, FL 33135-2827

Mailing address

2970 SW 8TH St
Miami, FL 33135-2827
Phone (305) 649-9092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060614000085 FL Practitioner - Physician Assistant 3971515867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

10040 SW 40TH St
Miami, FL 33165-3946
Phone (855) 226-6633

10130 SW 40TH St
Miami, FL 33165-3948
Phone (305) 685-5688

680 N University Dr
Pembroke Pines, FL 33024-6738
Phone 95451493608300

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9100764FLMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1568410330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352827",
            "telephone_number": "305-649-9092",
            "fax_number": "305-649-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352827",
            "telephone_number": "305-649-9092",
            "fax_number": "305-649-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEBO-SANCHEZ",
        "first_name": "ILEANA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9100764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.