Provider Demographics
NPI:1730209958
Name:SANDERS, MARIA ILIANA (RN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ILIANA
Last Name:SANDERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19278 NW 24TH CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5356
Mailing Address - Country:US
Mailing Address - Phone:786-486-1953
Mailing Address - Fax:305-279-9211
Practice Address - Street 1:7396 SW 117TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3813
Practice Address - Country:US
Practice Address - Phone:305-595-6207
Practice Address - Fax:305-279-9211
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 834262163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator