Healthcare Provider Details

I. General information

NPI: 1508983834
Provider Name (Legal Business Name): KATYA MARIA SANCHEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 SW 30TH AVE SUITE 101
POMPANO BEACH FL
33069-4887
US

IV. Provider business mailing address

7111 FAIRWAY DR SUITE 400
PALM BEACH GARDENS FL
33418-4204
US

V. Phone/Fax

Practice location:
  • Phone: 800-330-6770
  • Fax:
Mailing address:
  • Phone: 800-330-6464
  • Fax: 561-712-7349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number200201524
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberME108174
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: