MEDICARE: DR. EZEQUIAS 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	207Q00000X	Family Medicine Physician	7155	PR

General Provider Information

NPI Number	:	1821073834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EZEQUIAS SANCHEZ M.D.

Provider Business Mailing Address
First Line	:	USCG HQ, COMDT (CG-1122) 2100 2ND ST SW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20593-0001
Country	:	US
Telephone Number	:	703-235-1745
Fax Number	:	703-235-1881

Provider Business Practice Location Address
First Line	:	USCG HQ, COMDT (CG-1122) 2100 2ND ST SW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20593-0001
Country	:	US
Telephone Number	:	703-235-1745
Fax Number	:	703-235-1881

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/08/2007

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