Ricardo Miguel Sandoval, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0055135 Issued in FL

Practice address

595 NE 92ND St
Miami Shores, FL 33138-3162

Phone

(305) 756-1283

Fax

(305) 756-9839

NPI assigned

Oct 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bayview Center for Mental Health Inc

  • Community/Behavioral Health Agency
  • North Miami Beach, FL
  • NPI 1912123456
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851474357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 NE 92ND ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383162",
            "telephone_number": "305-756-1283",
            "fax_number": "305-756-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 NE 92ND ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383162",
            "telephone_number": "305-756-1283",
            "fax_number": "305-756-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "RICARDO",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0055135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATON NU",
            "identifier": "11359",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME 55135",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronel Corbin Wellness Medicine Ince (Healing Elephant Acupuncture and Wellness Medicine Clinic)
• Naomi Rosenblum, RMHCI
• Ann Russoli, LCSW
• Aneisha Samuels
• Alfredo Sanchez-Fortis, M.D.
• Sante Age Management Solutions
• Kristel Sarmiento, LCSW
• Yolanda Sarno
• Christopher Michael Schiller, DDS, MS
• Schoolhouse Educational Consultants, Inc

• Psychiatry Physician in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.