Provider Demographics
NPI:1336651371
Name:SANITAS MEDICAL CENTER OF NEW JERSEY PC
Entity Type:Organization
Organization Name:SANITAS MEDICAL CENTER OF NEW JERSEY PC
Other - Org Name:SANITAS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:DIEGO
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-882-2869
Mailing Address - Street 1:8400 NW 33RD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1937
Mailing Address - Country:US
Mailing Address - Phone:786-882-2869
Mailing Address - Fax:305-921-7355
Practice Address - Street 1:3196 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2436
Practice Address - Country:US
Practice Address - Phone:833-617-0501
Practice Address - Fax:305-921-7355
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANITAS MEDICAL CENTER OF NEW JERSEY PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-31
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty