Healthcare Provider Details

I. General information

NPI: 1518037399
Provider Name (Legal Business Name): SANCHEZ-CAZAU MEDICAL GROUP, P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E 25TH ST STE 109
HIALEAH FL
33013-3804
US

IV. Provider business mailing address

777 E 25TH ST STE 109
HIALEAH FL
33013-3804
US

V. Phone/Fax

Practice location:
  • Phone: 305-889-6670
  • Fax: 305-889-6671
Mailing address:
  • Phone: 305-889-6670
  • Fax: 305-889-6671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberME95970
License Number StateFL

VIII. Authorized Official

Name: DR. DOLORES SANCHEZ CAZAU
Title or Position: PRESIDENT
Credential: MD
Phone: 305-889-6670