Healthcare Provider Details

I. General information

NPI: 1891115259
Provider Name (Legal Business Name): LAURA ALSINA-SANCHEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HERITAGE DR STE 210
JUPITER FL
33458
US

IV. Provider business mailing address

600 HERITAGE DR STE 210
JUPITER FL
33458-3097
US

V. Phone/Fax

Practice location:
  • Phone: 561-354-1515
  • Fax: 561-354-1516
Mailing address:
  • Phone: 561-354-1515
  • Fax: 561-354-1516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberTRN20118
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME135232
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: