Provider Demographics
NPI:1114132438
Name:JARDINES, MARIA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:JARDINES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 BRICKELL AVE
Mailing Address - Street 2:22H
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2436
Mailing Address - Country:US
Mailing Address - Phone:305-858-3007
Mailing Address - Fax:
Practice Address - Street 1:2451 BRICKELL AVE
Practice Address - Street 2:22H
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-2436
Practice Address - Country:US
Practice Address - Phone:305-858-3007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28059207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD27729Medicare UPIN