Healthcare Provider Details

I. General information

NPI: 1528226040
Provider Name (Legal Business Name): CRISTOBAL ENRIQUEZ SANCHEZ METZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 SWIFT BLVD. HOSPITAL KADLEC (HOSPITALIST)
RICHLAND WA
99352
US

IV. Provider business mailing address

560 GAGE BLVD SUITE 203
RICHLAND WA
99352-8650
US

V. Phone/Fax

Practice location:
  • Phone: 509-946-4611
  • Fax: 509-942-2185
Mailing address:
  • Phone: 509-942-2268
  • Fax: 509-942-2268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00049127
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD00049127
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: