MEDICARE: DR. CARLOS A. SANCHEZ, LLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1801754437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. CARLOS A. SANCHEZ, LLC

Provider Business Mailing Address
First Line	:	1083 HARVARD PL
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-1627
Country	:	US
Telephone Number	:	704-578-1420
Fax Number	:

Provider Business Practice Location Address
First Line	:	1083 HARVARD PL
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-1627
Country	:	US
Telephone Number	:	704-578-1420
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. CARLOS ALFONSO SANCHEZ
Credential	:	DO
Telephone Number	:	704-578-1420

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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