Provider Demographics
NPI:1588417356
Name:SANDRINO PEDIATRIC CARE CENTERS, LLC
Entity type:Organization
Organization Name:SANDRINO PEDIATRIC CARE CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUSLEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDRINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-253-8037
Mailing Address - Street 1:13145 CORONADO DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2153
Mailing Address - Country:US
Mailing Address - Phone:786-325-6219
Mailing Address - Fax:
Practice Address - Street 1:850 NE 125TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5718
Practice Address - Country:US
Practice Address - Phone:786-325-6219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care