MEDICARE: ENRIQUE HERNANDEZ-SANCHEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0206X	Pediatric Gastroenterology Physician	ME89234	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME89234	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285631846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENRIQUE HERNANDEZ-SANCHEZ M.D.

Provider Business Mailing Address
First Line	:	9980 CENTRAL PARK BLVD N
Second Line	:	STE 316
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1704
Country	:	US
Telephone Number	:	561-206-6064
Fax Number	:	561-206-6032

Provider Business Practice Location Address
First Line	:	9980 CENTRAL PARK BLVD N
Second Line	:	STE 316
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1704
Country	:	US
Telephone Number	:	561-206-6064
Fax Number	:	561-206-6032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	03/14/2014

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Directions to “ ENRIQUE HERNANDEZ-SANCHEZ M.D.” Practice Location

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