Healthcare Provider Details

I. General information

NPI: 1073587010
Provider Name (Legal Business Name): LUIS J SANCHEZ-ROBLES DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LUIS J SANCHEZ DPM

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7560 RED BUG LAKE RD STE 2024
OVIEDO FL
32765-6591
US

IV. Provider business mailing address

3165 MCCRORY PL STE 174
ORLANDO FL
32803-3727
US

V. Phone/Fax

Practice location:
  • Phone: 407-679-7444
  • Fax: 407-359-6840
Mailing address:
  • Phone: 407-423-1234
  • Fax: 407-517-1040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 2179
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: