Odalys Sandoval Jimenez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11036199 Issued in FL

Practice address

10201 Hammocks Blvd Ste 122
Miami, FL 33196-3783

Phone

(786) 701-8702

Fax

(305) 397-2669

NPI assigned

Nov 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Dalia Medical Center Corp

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1548095011
  NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1669296232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13424 SW 62ND ST APT P112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831847",
            "telephone_number": "786-319-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD STE 122",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963783",
            "telephone_number": "786-701-8702",
            "fax_number": "305-397-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 SW 27th Ave Ste 509",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352967",
            "country_code": "US",
            "telephone_number": "786-701-8702",
            "fax_number": "305-397-2669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL JIMENEZ",
        "first_name": "ODALYS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127232600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandino Gonzalez, MD
• Yekutiel Sandman, MD
• Manuel Sandomingo, LMT
• Sandor a Romero MD LLC
• Ivette Sandoval Hancock
• Ana Cristina Sandoval Leon, MD
• Andrea Camila Sandoval
• Barbara Sandoval, RBT
• Benjamin Sandoval, ARNP
• Bianca Nicole Sandoval

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.