Basic Information
| Provider Information | |||||||||
| NPI: | 1639540214 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DR JOSE JESUS SANCHEZ MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 522456 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331522456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3058049326 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4011 W FLAGLER ST | ||||||||
| Address2: | SUITE 2014 | ||||||||
| City: | CORAL GABLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331341643 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3057741234 | ||||||||
| FaxNumber: | 3057741639 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/08/2015 | ||||||||
| LastUpdateDate: | 04/04/2016 | ||||||||
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| AuthorizedOfficialLastName: | SANCHEZ | ||||||||
| AuthorizedOfficialFirstName: | JOSE | ||||||||
| AuthorizedOfficialMiddleName: | JESUS | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3058049326 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | FL | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.