Individual provider Active NPI

Sandor Blanco de Anaya Salles, ARNP-FNP

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1609564111
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F11220597 Issued in FL
Practice address
7885 W 5TH CT
Hialeah, FL 33014-4232
Phone
(786) 286-0312
NPI assigned
Apr 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F11220597 FL Primary

Addresses

Primary practice location

7885 W 5TH CT
Hialeah, FL 33014-4232

Mailing address

7885 W 5TH CT
Hialeah, FL 33014-4232
Phone (786) 286-0312

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
F11220597FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1609564111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7885 W 5TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144232",
            "telephone_number": "786-286-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7885 W 5TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144232",
            "telephone_number": "786-286-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO DE ANAYA SALLES",
        "first_name": "SANDOR",
        "credential": "ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F11220597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.