MEDICARE: DR. MODESTO SANCHEZ-TORRES 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	2085R0202X	Diagnostic Radiology Physician	67403	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	:	1447238407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MODESTO SANCHEZ-TORRES MD

Provider Business Mailing Address
First Line	:	PO BOX 550436
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33355-0436
Country	:	US
Telephone Number	:	954-915-0199
Fax Number	:

Provider Business Practice Location Address
First Line	:	19051 COLLINS AVE
Second Line	:	UNIT D114
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-2346
Country	:	US
Telephone Number	:	954-915-0199
Fax Number	:

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	04/12/2013

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