Provider Demographics
NPI:1598001265
Name:FREIA, SANDRA XIOMARA (HAS)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:XIOMARA
Last Name:FREIA
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17940 S MILITARY TRL STE 300
Mailing Address - Street 2:HEAR AGAIN AMERICA
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2412
Mailing Address - Country:US
Mailing Address - Phone:561-367-1623
Mailing Address - Fax:561-571-6319
Practice Address - Street 1:17940 S MILITARY TRL STE 300
Practice Address - Street 2:HEAR AGAIN AMERICA
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2412
Practice Address - Country:US
Practice Address - Phone:561-367-1623
Practice Address - Fax:561-571-6319
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4093237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist