Healthcare Provider Details

I. General information

NPI: 1902802713
Provider Name (Legal Business Name): CARLOS SANCHEZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NW 95TH ST
MIAMI FL
33150-2038
US

IV. Provider business mailing address

9600 NE 2ND AVE
MIAMI SHORES FL
33138-2722
US

V. Phone/Fax

Practice location:
  • Phone: 305-835-6191
  • Fax: 305-694-3649
Mailing address:
  • Phone: 305-603-7650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS7598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: