MEDICARE: SERGIO L CHAN

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1699585851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGIO L CHAN

Provider Business Mailing Address
First Line	:	12405 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5518
Country	:	US
Telephone Number	:	786-468-9316
Fax Number	:

Provider Business Practice Location Address
First Line	:	12405 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5518
Country	:	US
Telephone Number	:	786-468-9316
Fax Number	:

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

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	01/09/2025

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1922849058 — GELSY MACHADO FERREIRO
Practice Location Address:

12405 SW 56TH ST
MIAMI, FL
33175-5518

Practice Phone: 786-468-9655
Practice Fax:

1730184011 — MS. LESLIE ANN FRASER MS,CCC-SLP
Practice Location Address:

12340 NE 6TH CT
NORTH MIAMI, FL
33161-5518

Practice Phone: 305-981-4000
Practice Fax:

1588254759 — YUDITH DIAZ GAZAN
Practice Location Address:

11420 SW 47TH TER
MIAMI, FL
33165-5518

Practice Phone: 786-594-1901
Practice Fax:

1467187369 — DR CAMPOS WELLNESS AND AESTHETICS
Practice Location Address:

7261 SW 48TH ST
MIAMI, FL
33155-5518

Practice Phone: 305-401-4153
Practice Fax:

1548077274 — RODOLFO SUAREZ SANFIEL
Practice Location Address:

1699 SW 7TH ST APT 104
MIAMI, FL
33135-5518

Practice Phone: 786-273-6607
Practice Fax:

Directions to “ SERGIO L CHAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.