Basic Information
Provider Information
NPI: 1245763440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ MARTINEZ
FirstName: JAVIER
MiddleName: ESTEBAN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 670 GLADES RD STE 200
Address2:  
City: BOCA RATON
State: FL
PostalCode: 334316464
CountryCode: US
TelephoneNumber: 5614959511
FaxNumber:  
Practice Location
Address1: 3319 S STATE ROAD 7 STE 207
Address2:  
City: WELLINGTON
State: FL
PostalCode: 334498146
CountryCode: US
TelephoneNumber: 5614959511
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/05/2017
LastUpdateDate: 03/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900XME152185FLN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207LP2900X309209NYN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
208VP0014XME152185FLY Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine

No ID Information.


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