Provider Demographics
NPI:1194963140
Name:SENDIN, MANUEL (LMT, RT)
Entity type:Individual
Prefix:
First Name:MANUEL
Middle Name:
Last Name:SENDIN
Suffix:
Gender:M
Credentials:LMT, RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8585 SUNSET DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3746
Mailing Address - Country:US
Mailing Address - Phone:305-275-7474
Mailing Address - Fax:305-275-7473
Practice Address - Street 1:8585 SUNSET DR
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3746
Practice Address - Country:US
Practice Address - Phone:305-275-7474
Practice Address - Fax:305-275-7473
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA31405225700000X
FLCRT37209247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist