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SANDIEGO MEDICAL SERVICE INC.
NPI 1275030116
Nurse Practitioner - Family in Miami, FL

Active since April 08, 2018
11925 BIRD DR, MIAMI, FL 33175(305) 467-4442 Get Directions Write a Review

NPPES record last updated: April 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandiego Medical Service Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDIEGO MEDICAL SERVICE INC. (NPI 1275030116) is a healthcare organization registered as a family in Miami, Florida and active in the NPI registry since April 2018. The organization lists Luz Marina Racedeo, President, as its authorized official.

NPPES Registry Identity

NPI1275030116
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSANDIEGO MEDICAL SERVICE INC.
Location Address11925 BIRD DRMiami, FL 33175-3571
Mailing Address11925 Bird DrMiami, FL 33175-3571 · (305) 467-4442
Phone(305) 467-4442
Organization SubpartNo
Authorized OfficialLuz Marina RacedeoPresident · (305) 467-4442
Enumeration DateApril 8, 2018
✔ NPI 1275030116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9244232
11925 BIRD DR, Miami, FL 33175
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUZ MARINA RACEDO-MARTIN
Nurse Practitioner (Family)
11925 BIRD DR
MIAMI, FL 33175
Miami-Dade County (305) 467-4442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandiego Medical Service Inc.'s NPI number?

The NPI number for Sandiego Medical Service Inc. is 1275030116. It was assigned to this organization in the NPPES registry on April 8, 2018.

Where is Sandiego Medical Service Inc. located?

Sandiego Medical Service Inc. is located at 11925 Bird Dr, Miami, FL 33175. The listed phone number is (305) 467-4442.

What is Sandiego Medical Service Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sandiego Medical Service Inc. was last updated on April 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.