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NPI Code Detail

MEDICARE: STEPHANIE M GONZALEZ SANCHEZ

MEDICARE: STEPHANIE M GONZALEZ SANCHEZ
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician176805FL
3208000000XPediatrics Physician23195PR

General Provider Information

NPI Number : 1851965784
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE M GONZALEZ SANCHEZ
Provider Business Mailing Address
First Line : 735 AVE DE LA CONSTITUCION
Second Line :
City : SAN JUAN
State : PR
Zip : 00917
Country : US
Telephone Number : 787-758-2000
Fax Number :
Provider Business Practice Location Address
First Line : 706 E GRAND HWY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-3708
Country : US
Telephone Number : 352-557-4965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2021
Last Update Date : 03/09/2026

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Directions to “ STEPHANIE M GONZALEZ SANCHEZ ” Practice Location

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