MEDICARE: DR. LEONARDO MANCHA SANCHEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	TRN44886	FL

General Provider Information

NPI Number	:	1093644619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARDO MANCHA SANCHEZ MD

Provider Business Mailing Address
First Line	:	1475 W 49TH PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3113
Country	:	US
Telephone Number	:	305-284-7761
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 W 49TH PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3197
Country	:	US
Telephone Number	:	305-284-7761
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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