Basic Information
Provider Information
NPI: 1144586173
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURIA - SAAD
FirstName: SANDRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6100 BLUE LAGOON DR STE 400
Address2:  
City: MIAMI
State: FL
PostalCode: 331262080
CountryCode: US
TelephoneNumber: 3053986100
FaxNumber: 3053986099
Practice Location
Address1: 3800 W FLAGLER ST
Address2:  
City: CORAL GABLES
State: FL
PostalCode: 331341604
CountryCode: US
TelephoneNumber: 3057743626
FaxNumber: 3054672640
Other Information
ProviderEnumerationDate: 04/04/2012
LastUpdateDate: 12/08/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN9393021FLY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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