Dr Sandra Y. Mitjans, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME40785 Issued in FL

Legal business name

DR SANDRA Y. MITJANS, INC

Practice address

700 E 25TH St
Hialeah, FL 33013-3817

Phone

(305) 835-0700

Fax

(305) 696-0963

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Sandra Yvonne Mitjans, MD

Title

President

Phone

(305) 835-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1871994194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133817",
            "telephone_number": "305-835-0700",
            "fax_number": "305-696-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133817",
            "telephone_number": "305-835-0700",
            "fax_number": "305-696-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SANDRA Y. MITJANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "MITJANS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-835-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME40785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056822800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.