Healthcare Provider Details
I. General information
NPI: 1659496628
Provider Name (Legal Business Name): JOSE U SANCHEZ INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4332 NW 81ST AVE
DORAL FL
33166-5802
US
IV. Provider business mailing address
4332 NW 81ST AVE
DORAL FL
33166-5802
US
V. Phone/Fax
- Phone: 786-972-5146
- Fax:
- Phone: 786-972-5146
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JOSE
U
SANCHEZ
Title or Position: OWNER
Credential: MD
Phone: 786-972-5146