Healthcare Provider Details

I. General information

NPI: 1295985943
Provider Name (Legal Business Name): JULIA CRISTINA SANCHEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA CRISTINA SANCHEZ RUEDA MD

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 SW 42ND AVE
CORAL GABLES FL
33134-1938
US

IV. Provider business mailing address

5426 BAY CENTER DR SUITE 300
TAMPA FL
33609-3444
US

V. Phone/Fax

Practice location:
  • Phone: 786-439-1200
  • Fax:
Mailing address:
  • Phone: 813-569-6500
  • Fax: 813-864-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberME107674
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME107674
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: