Provider Demographics
NPI:1932486701
Name:MERINO NAVARRO, SANDRA SOFIA (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:SOFIA
Last Name:MERINO NAVARRO
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 1:20611 SW 123RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-5661
Mailing Address - Country:US
Mailing Address - Phone:787-308-1047
Mailing Address - Fax:
Practice Address - Street 1:CALLE BAHUINIA
Practice Address - Street 2:Z-978, LOIZA VALLEY
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-2853
Practice Address - Fax:787-876-2445
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20002208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice