Healthcare Provider Details
I. General information
NPI: 1881670693
Provider Name (Legal Business Name): JOSE A MUES SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/22/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1834 N. ALAFAYA TAIL
ORLANDO FL
32826-4743
US
IV. Provider business mailing address
121 S ORANGE AVE STE 940
ORLANDO FL
32801-3221
US
V. Phone/Fax
- Phone: 407-627-0062
- Fax: 407-674-7346
- Phone: 407-658-9687
- Fax: 407-286-4515
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME131971 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 8420 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: