Healthcare Provider Details

I. General information

NPI: 1396817755
Provider Name (Legal Business Name): CAROLINA SANCHEZ-VEGAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 07/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 SW 60TH CT SUITE 206
MIAMI FL
33155-4000
US

IV. Provider business mailing address

3200 SW 60TH CT SUITE 206
MIAMI FL
33155-4000
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-8378
  • Fax:
Mailing address:
  • Phone: 305-662-8378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number228928
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberME103385
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: