Healthcare Provider Details

I. General information

NPI: 1467411017
Provider Name (Legal Business Name): PEDRO A SANCHEZ-DIAZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 W FLAGLER ST STE 208
MIAMI FL
33144-2039
US

IV. Provider business mailing address

8390 W FLAGLER ST STE 208
MIAMI FL
33144-2039
US

V. Phone/Fax

Practice location:
  • Phone: 305-261-8100
  • Fax: 305-261-3723
Mailing address:
  • Phone: 305-261-8100
  • Fax: 305-261-3723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0054806
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: