MEDICARE: DR. JORGE SANCHEZ-MASIQUES MD

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	207RP1001X	Pulmonary Disease Physician	ME48635	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376541961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE SANCHEZ-MASIQUES MD

Provider Business Mailing Address
First Line	:	3181 SW 22 STREET
Second Line	:	2ND FLOOR
City	:	MIAMI
State	:	FL
Zip	:	33145-3229
Country	:	US
Telephone Number	:	305-567-1999
Fax Number	:	305-567-9309

Provider Business Practice Location Address
First Line	:	3181 SW 22 STREET
Second Line	:	2ND FLOOR
City	:	MIAMI
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-567-1999
Fax Number	:	305-567-9309

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	06/17/2010

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