MEDICARE: CARLOS 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	207RP1001X	Pulmonary Disease Physician	ME75641	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	KW619	OTHER	FL	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134164395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS SANCHEZ MD

Provider Business Mailing Address
First Line	:	5401 S CONGRESS AVE STE 204
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-6637
Country	:	US
Telephone Number	:	561-967-4118
Fax Number	:	561-967-3463

Provider Business Practice Location Address
First Line	:	5401 S CONGRESS AVE STE 204
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-6637
Country	:	US
Telephone Number	:	561-967-4118
Fax Number	:	561-967-3463

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

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	01/18/2021

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Directions to “ CARLOS SANCHEZ MD” Practice Location

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