Active NPI
Juan Jose Sanchez Martinez
- Licensed Practical Nurse
- Parrish, FL
National Provider Identifier
1184816852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN 5177946
- Practice address
- 9906 58TH St E
Parrish, FL 34219-4444 - Phone
- (941) 981-3623
- NPI assigned
- Aug 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 5177946 | FL | Primary |
| Licensed Practical Nurse | 164W00000X | 31515 | CO |
Addresses
Primary practice location
9906 58TH St E
Parrish, FL 34219-4444
Mailing address
9906 58TH St E
Parrish, FL 34219-4444
Phone (941) 981-3623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31515 | CO | MD | Licensed Practical Nurse |
| PN 5177946 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1184816852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9906 58TH ST E",
"city": "PARRISH",
"state": "FL",
"postal_code": "342194444",
"telephone_number": "941-981-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9906 58TH ST E",
"city": "PARRISH",
"state": "FL",
"postal_code": "342194444",
"telephone_number": "941-981-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ MARTINEZ",
"first_name": "JUAN",
"middle_name": "JOSE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN 5177946",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CO",
"license": "31515",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parrish, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.