Healthcare Provider Details

I. General information

NPI: 1316523343
Provider Name (Legal Business Name): SABASTIANA MARIA SANZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2021
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 S SEACREST BLVD STE 104
BOYNTON BEACH FL
33435-7944
US

IV. Provider business mailing address

2828 S SEACREST BLVD STE 104
BOYNTON BEACH FL
33435-7944
US

V. Phone/Fax

Practice location:
  • Phone: 561-560-8279
  • Fax:
Mailing address:
  • Phone: 561-560-8279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME167201
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: