Individual provider Active NPI

Rafael F Sanchez, O.D.

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1093856155
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1965 Issued in FL
Practice address
3025 Coral Way
Coral Gables, FL 33145
Phone
(305) 446-3025
NPI assigned
Feb 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1965 FL Primary

Addresses

Primary practice location

3025 Coral Way
Coral Gables, FL 33145

Mailing address

4260 SW 12TH St
Miami, FL 33134-2711
Phone (305) 447-9638

Other practice location 1

3390 Coral Way
Miami, FL 33145-2236
Phone (305) 445-1521

Other practice location 2

12859 SW 88th St
Miami, FL 33186-1707
Phone (305) 200-3146

Other identifiers 1

IdentifierTypeStateIssuer
078415000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000108 FL Practitioner - Optometry 3375532724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3025 Coral Way
Coral Gables, FL 33145-3207
Phone (305) 446-3025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 1965FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanchez & Tamayo, P.a. Optometrist CurrentSince May 25, 1999 Accepting new patients

Locations

1655 W 49th St
Hialeah, FL 33012
Phone (305) 824-9890

3025 Coral Way
Miami, FL 33145
Phone (305) 446-3025

12859 SW 88th St
Miami, FL 33186
Phone (305) 200-3146

3390 SW 22nd St
Miami, FL 33145
Phone (305) 443-4636

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1093856155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342711",
            "telephone_number": "305-447-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-446-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3390 Coral Way",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331452236",
            "country_code": "US",
            "telephone_number": "305-445-1521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12859 SW 88th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331861707",
            "country_code": "US",
            "telephone_number": "305-200-3146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "RAFAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078415000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.