Provider Demographics
NPI:1487074506
Name:GIRALDO, SANDRA PATRICIA (DNP)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:PATRICIA
Last Name:GIRALDO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9470 BOCA RIVER CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3986
Mailing Address - Country:US
Mailing Address - Phone:954-649-2222
Mailing Address - Fax:
Practice Address - Street 1:9470 BOCA RIVER CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3986
Practice Address - Country:US
Practice Address - Phone:954-649-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-17
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9279664363L00000X
FLAPRN9279664363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology