Organization
UNIVERSITY OF MIAMI
Active
Other names
UMIAMI MEDICINE DIVISION OF MAILMAN PSYCHOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
CESIA A SANCHEZ (PROVIDER ENROLLMENT MANAGER)
(305) 243-6837
Entity
Organization
Contact information
Practice address
1601 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-7688
(305) 243-8470
Mailing address
1601 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-7688
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34575
BLUE CROSS
FL
05
—
7635834-00
—
FL
Enumeration date
05/12/2006
Last updated
05/09/2025
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