Individual provider Active NPI

Nilsa Raquel Sanchez, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • St Petersburg, FL
National Provider Identifier
1174500169
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME129197 Issued in FL
Practice address
6703 38TH Ave N
St Petersburg, FL 33710-1536
Phone
(727) 213-5377
Fax
(727) 828-9639
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13442 PR
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME129197 FL Primary

Addresses

Primary practice location

6703 38TH Ave N
St Petersburg, FL 33710-1536

Mailing address

6675 Westwood Blvd
Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330

Other practice location 1

1028 Ave Roosevelt
San Juan, PR 00920-2904
Phone (787) 781-8316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040115000005 PR Practitioner - Family PracticePractitioner - Geriatric Medicine 1153222062 Practice locations: Puerto Nuevo, PR
I20180425001694 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 1153222062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

3102 W Cypress St
Suite a
Tampa, FL 33607-5118
Phone (813) 875-3444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Mar 9, 2020 Accepting new patients
Med Caribe CSP Past Accepting new patients
Medical Home Alliance LLC Past Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients

Locations

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

3102 W Cypress St
Ste A
Tampa, FL 33607
Phone (813) 875-3444

4728 N Habana Ave
Ste 102
Tampa, FL 33614
Phone (813) 870-4485

5110 N Habana Ave
Ste 2
Tampa, FL 33614
Phone (813) 512-2564

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1174500169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD",
            "address_2": "STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-213-5377",
            "fax_number": "727-828-9639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 Ave Roosevelt",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009202904",
            "country_code": "US",
            "telephone_number": "787-781-8316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "NILSA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "13442",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME129197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.