Basic Information
Provider Information
NPI: 1134353501
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ
FirstName: DENNIS
MiddleName: ALBERTO
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1613 HARRISON PKWY
Address2: SUITE 200
City: SUNRISE
State: FL
PostalCode: 333232896
CountryCode: US
TelephoneNumber: 9548382588
FaxNumber: 9545143960
Practice Location
Address1: 20900 BISCAYNE BLVD
Address2:  
City: AVENTURA
State: FL
PostalCode: 331801407
CountryCode: US
TelephoneNumber: 3056827000
FaxNumber: 9545143960
Other Information
ProviderEnumerationDate: 05/13/2009
LastUpdateDate: 05/13/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XARNP9175107FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home