Healthcare Provider Details

I. General information

NPI: 1801844717
Provider Name (Legal Business Name): ROBERTO ENRIQUE SANCHEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
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 NumberME88162
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number88162
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: