Provider Demographics
NPI:1801213277
Name:THE SIFRE CENTER LLC
Entity Type:Organization
Organization Name:THE SIFRE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SANTIAGO
Authorized Official - Middle Name:
Authorized Official - Last Name:SIFRE
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:305-672-4403
Mailing Address - Street 1:333 ARTHUR GODFREY RD
Mailing Address - Street 2:SUITE #214
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3641
Mailing Address - Country:US
Mailing Address - Phone:305-672-4403
Mailing Address - Fax:305-672-4403
Practice Address - Street 1:333 ARTHUR GODFREY RD
Practice Address - Street 2:SUITE #214
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3641
Practice Address - Country:US
Practice Address - Phone:305-672-4403
Practice Address - Fax:305-672-4403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 875171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty