Organization Active NPI

Juan Sanchez P.a.

  • Neurology Physician
  • Tamarac, FL
National Provider Identifier
1316273527
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME88300 Issued in FL
Legal business name
JUAN SANCHEZ P.A.
Practice address
7707 N University Dr Ste 101
Tamarac, FL 33321-2954
Phone
(954) 840-2233
Fax
(954) 840-4100
NPI assigned
Oct 22, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Juan Carlos Sanchez, MDNPI 1003891656
Title
President/Owner
Phone
(954) 840-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME88300 FL Primary

Addresses

Primary practice location

7707 N University Dr Ste 101
Tamarac, FL 33321-2954

Mailing address

7707 N University Dr Ste 101
Tamarac, FL 33321-2954
Phone (954) 840-2233

Other practice location 1

3001 Coral Hills Dr
Suite 150
Coral Springs, FL 33065-4172
Phone (954) 840-2233

Other identifiers 1

IdentifierTypeStateIssuer
DF419AOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100626000442 FL Part B Supplier - Clinic/Group Practice 0547391096 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL; Tamarac, FL

National Provider Directory

National Provider Directory

Locations

3001 Coral Hills Dr
Ste 1
Coral Springs, FL 33065
Phone (954) 840-2233

3001 Coral Hills Dr
Ste 150
Coral Springs, FL 33065
Phone (954) 840-2233

7707 N University Dr
Ste 101
Tamarac, FL 33321
Phone (954) 726-3606

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1316273527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 N UNIVERSITY DR STE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212954",
            "telephone_number": "954-840-2233",
            "fax_number": "954-840-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 N UNIVERSITY DR STE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212954",
            "telephone_number": "954-840-2233",
            "fax_number": "954-840-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Coral Hills Dr",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654172",
            "country_code": "US",
            "telephone_number": "954-840-2233",
            "fax_number": "954-840-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUAN SANCHEZ P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-840-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME88300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DF419A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.