MEDICARE: JOSE JORGE SANCHEZ VALDES P.A.

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	246ZC0007X	Surgical Assistant	25-151	FL
2	363A00000X	Physician Assistant	2996	PR

General Provider Information

NPI Number	:	1467259093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE JORGE SANCHEZ VALDES P.A.

Provider Business Mailing Address
First Line	:	1640 NW 26TH AVE APT 1
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2143
Country	:	US
Telephone Number	:	786-633-9984
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 NW 26TH AVE APT 1
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2143
Country	:	US
Telephone Number	:	786-633-9984
Fax Number	:

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

Provider Enumeration Date	:	03/01/2025
Last Update Date	:	02/22/2026

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