Healthcare Provider Details

I. General information

NPI: 1568229235
Provider Name (Legal Business Name): EDUARDO MARTINEZ SANCHEZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1096
US

IV. Provider business mailing address

23058 SW 128TH PL
GOULDS FL
33170-2954
US

V. Phone/Fax

Practice location:
  • Phone: 786-239-0226
  • Fax:
Mailing address:
  • Phone: 786-239-0226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number59613
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: