Provider Demographics
NPI:1669359402
Name:ANDRADE, SABRINA EDITH (RD)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:EDITH
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9350 E ELM LN
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2655
Mailing Address - Country:US
Mailing Address - Phone:305-606-0913
Mailing Address - Fax:
Practice Address - Street 1:9350 E ELM LN
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2655
Practice Address - Country:US
Practice Address - Phone:305-606-0913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND8461133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty