# UNIVERSITY OF MIAMI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UMDC Dept of Medipass
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073776688
- **Authorized official:** CESIA A SANCHEZ (MANAGER, PROVIDER ENROLLMENT)
- **Authorized official phone:** (305) 243-6837

## Contact information

- **Practice address:** 1611 NW 12TH AVE \# 16960M851, MIAMI, FL 33136-1005
- **Practice address phone:** (305) 243-4126
- **Practice address fax:** (305) 243-8470
- **Mailing address:** 1611 NW 12TH AVE, MIAMI, FL 33136-1005
- **Mailing address phone:** (305) 243-4126
- **Mailing address fax:** (305) 243-8470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 07/23/2019