Healthcare Provider Details

I. General information

NPI: 1578895314
Provider Name (Legal Business Name): JORGE ARTURO FERNANDEZ SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 SW 72ND ST STE 105
MIAMI FL
33173-3245
US

IV. Provider business mailing address

9350 SW 72ND ST STE 105
MIAMI FL
33173-3245
US

V. Phone/Fax

Practice location:
  • Phone: 305-819-1104
  • Fax: 305-819-1107
Mailing address:
  • Phone: 305-819-1104
  • Fax: 305-819-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number108827
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number93752
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: