# UNIVERSITY OF MIAMI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UMiami Medicine - Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558312314
- **Authorized official:** CESIA A SANCHEZ (MANAGER, PROVIDER ENROLLMENT)
- **Authorized official phone:** (305) 243-6837

## Contact information

- **Practice address:** 1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
- **Practice address phone:** (305) 243-7688
- **Practice address fax:** (305) 243-8470
- **Mailing address:** 1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
- **Mailing address phone:** (305) 243-7688
- **Mailing address fax:** (305) 243-8470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 04/25/2023