SD Glow and Health LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SD GLOW AND HEALTH LLC

Practice address

3624 NW 36TH St
Miami, FL 33142-4914

Phone

(305) 773-3971

NPI assigned

Aug 19, 2021

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarai GendrizNPI 1689132086

Title

Owner

Phone

(305) 251-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarai Gendriz

  • Family Nurse Practitioner
  • Cutler Bay, FL
  • NPI 1689132086
  NPD Authorized official
• Diana Mancebo, RN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1083032007
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1710653894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424914",
            "telephone_number": "305-773-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD GLOW AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "GENDRIZ",
        "authorized_official_first_name": "SARAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-251-2500"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.