Organization Active NPI

Manuel Sanchez PA

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1386971802
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0067711 Issued in FL
Legal business name
MANUEL SANCHEZ PA
Practice address
5385 W 20TH Ave
Hialeah, FL 33012-2101
Phone
(305) 698-1215
Fax
(305) 698-1216
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Manuel Sanchez, PA
Title
Doctor
Phone
(786) 399-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME0067711 FL Primary

Addresses

Primary practice location

5385 W 20TH Ave
Hialeah, FL 33012-2101

Mailing address

7410 Loch Ness Dr
Miami Lakes, FL 33014-6012
Phone (786) 399-9944

Other identifiers 1

IdentifierTypeStateIssuer
377284500MedicaidFL

National Provider Directory

National Provider Directory

Locations

5385 W 20th Ave
Hialeah, FL 33012
Phone (305) 698-1215

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1386971802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 LOCH NESS DR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146012",
            "telephone_number": "786-399-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122101",
            "telephone_number": "305-698-1215",
            "fax_number": "305-698-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL SANCHEZ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "786-399-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0067711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377284500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.