Healthcare Provider Details

I. General information

NPI: 1801826649
Provider Name (Legal Business Name): SANCHEZ RADIOLOGY, PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 05/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 CORAL WAY
MIAMI FL
33145
US

IV. Provider business mailing address

2975 CORAL WAY
MIAMI FL
33145
US

V. Phone/Fax

Practice location:
  • Phone: 305-448-4950
  • Fax: 305-448-1357
Mailing address:
  • Phone: 305-448-4950
  • Fax: 305-448-1357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLOS G. SANCHEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 305-448-4950