Basic Information
| Provider Information | |||||||||
| NPI: | 1750547162 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANCHEZ RAUDER | ||||||||
| FirstName: | RAMON | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8950 N KENDALL DR | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331762144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055954070 | ||||||||
| FaxNumber: | 3055953526 | ||||||||
| Practice Location | |||||||||
| Address1: | 11760 SW 40 STREET | ||||||||
| Address2: | SUITE 654 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331758103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7866156123 | ||||||||
| FaxNumber: | 7866156103 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2008 | ||||||||
| LastUpdateDate: | 06/02/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | ME 111662 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 004869600 | 05 | FL | MEDICAID |