MONICA ALBA-SANDOVAL MD
NPI 1992923627
Pediatrics - Pediatric Critical Care Medicine in Miami, FL

Q: What is Monica Alba-sandoval's NPI number?

The NPI number for Monica Alba-sandoval is 1992923627. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Q: What is Monica Alba-sandoval's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-6051(305) 325-0293 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Monica Alba-sandoval Md NPPES

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

MONICA ALBA-SANDOVAL MD (NPI 1992923627) is an individual pediatric critical care medicine provider in Miami, Florida, licensed in Florida (ME100393) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1992923627

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameMONICA ALBA-SANDOVALCredential: MD

Location Address1611 NW 12TH AVEMiami, FL 33136-1005

Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 585-6051 · Fax (305) 325-0293

Phone(305) 585-6051

Fax(305) 325-0293

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateApril 20, 2007

Last NPPES UpdateApril 14, 2021

NPPES CertifiedApril 14, 2021

✔ NPI 1992923627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in FL · ME100393

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1611 NW 12TH AVE, Miami, FL 33136

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Other Identifiers 1

Medicaid002466800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monica Alba-sandoval Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567657802

PECOS Enrollment IDI20101111000934

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Monica Alba-sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami

Same address

Hepatology

1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1013967827 (305) 243-7688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Other Providers at the Same Location NPPES 20

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

DR. AKUA GYANEWAH ASARE MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-8264

MARILUZ SANCHEZ PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136

Miami-Dade County (305) 585-7309

DR. TASHA JOYTI N. D. COOKE TASHA COOKE

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-3670

DR. JUANITA ANN MARIE HUNTER M.D.

Pediatrics (Pediatric Cardiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6042

WANDA LAVERNE MCGOWAN-BRAYNEN ARNP

Nurse Practitioner (Adult Health)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. PERTTI KALEVI HAKALA M.D.

Anesthesiology

1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

JAYLOU M VELEZ TORRES M.D.

Pathology (Anatomic Pathology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-8381

ANNE-ISABELLE SOPHIA REME MD

Surgery

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1280

ELIE SAMIR ALAM MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

CHRISTOPHER D NAVARRO MD

Anesthesiology

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

RENZO ALDERETE APRN

Nurse Practitioner

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

AAZIM SYED ARIF MD

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. VICTOR M. LU MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-6751

DR. MIRIAM MARTI MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 342-1919

ALVARO ALFONSO SOTO RINCON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (786) 769-0052

LANIEL ROMEUS JR.

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-7000

CAMILLE-KAE TORRE DNP, APRN, NNP-BC

Nurse Practitioner (Neonatal)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

NICOLE FARES MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

VERONICA NUNEZ

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

MARGO STAPLETON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-1350

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 Monica Alba-sandoval's NPI number?

The NPI number for Monica Alba-sandoval is 1992923627. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Monica Alba-sandoval located?

Monica Alba-sandoval practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-6051.

What is Monica Alba-sandoval's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Monica Alba-sandoval enrolled in Medicare?

Yes. Monica Alba-sandoval is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Monica Alba-sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Alba-sandoval reassigns Medicare benefits to University Of Miami (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Alba-sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Alba-sandoval accept?

Health plans from Ambetter Health and Ambetter of Alabama list Monica Alba-sandoval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monica Alba-sandoval was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.