Healthcare Provider Details

I. General information

NPI: 1023487147
Provider Name (Legal Business Name): ROBERTO E SANCHEZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 04/02/2022
Certification Date: 04/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 NW 110TH AVE STE 218
SWEETWATER FL
33172-1929
US

IV. Provider business mailing address

PO BOX 942575
MIAMI FL
33194-2575
US

V. Phone/Fax

Practice location:
  • Phone: 305-456-7580
  • Fax: 786-536-5689
Mailing address:
  • Phone: 305-456-7580
  • Fax: 786-536-5689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERTO ENRIQUE SANCHEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 786-525-8567