Healthcare Provider Details

I. General information

NPI: 1932903424
Provider Name (Legal Business Name): JUAN SAMUEL SANCHEZ RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

IV. Provider business mailing address

6380 S AMBARELLA DR
TUCSON AZ
85756
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-2844
  • Fax:
Mailing address:
  • Phone: 520-456-4014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number022609
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number022609
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: