MEDICARE: HIRAM ANGEL 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
1	246ZC0007X	Surgical Assistant	10-155	FL

General Provider Information

NPI Number	:	1861781940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIRAM ANGEL SANCHEZ

Provider Business Mailing Address
First Line	:	20485 SW 133RD CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-6166
Country	:	US
Telephone Number	:	305-492-5358
Fax Number	:	305-259-9492

Provider Business Practice Location Address
First Line	:	20485 SW 133RD CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-6166
Country	:	US
Telephone Number	:	305-492-5358
Fax Number	:	305-259-9492

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

Provider Enumeration Date	:	03/29/2011
Last Update Date	:	03/29/2011

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