Provider Demographics
NPI:1598164931
Name:SARDINAS, OLGA
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:SARDINAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 SW 107TH AVE
Mailing Address - Street 2:SUITE 301C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2524
Mailing Address - Country:US
Mailing Address - Phone:305-554-1700
Mailing Address - Fax:305-554-1775
Practice Address - Street 1:1401 SW 107TH AVE
Practice Address - Street 2:SUITE 301C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2524
Practice Address - Country:US
Practice Address - Phone:305-554-1700
Practice Address - Fax:305-554-1775
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital