Individual provider Active NPI

Pedro A Sanchez, DO

  • Family Medicine Physician
  • Wellington, FL
National Provider Identifier
1578636833
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005893 Issued in FL
Practice address
3319 Sr 7 Ste 215
Wellington, FL 33449
Phone
(561) 791-1630
Fax
(561) 791-0595
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0005893 FL Primary

Addresses

Primary practice location

3319 Sr 7 Ste 215
Wellington, FL 33449

Mailing address

3319 Sr 7 Ste 215
Wellington, FL 33449
Phone (561) 791-1630

Other identifiers 1

IdentifierTypeStateIssuer
374513900MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000124 FL Practitioner - Family PracticePractitioner - General Practice 1153340385

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0005893FLMDFamily Medicine Physician
5893FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health & Wellness Inc Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Venra Medical Associates LLC Past Accepting new patients
My Doctor PA Family Medicine Past Accepting new patients
Hope Health and Wellness Inc PastSince Jun 2, 2026 Accepting new patients

Locations

2845 N Military Trl
Ste 31
West Palm Beach, FL 33409
Phone 5616860120109

7731 N Military Trl
West Palm Beach, FL 33410
Phone (561) 244-9499

2845 N Military Trl
Ste C31
West Palm Beach, FL 33409
Phone (561) 581-8246

655 N Military Trl
Ste 7
West Palm Beach, FL 33415
Phone (561) 683-4670

7731 N Military Trl
Ste 103
West Palm Beach, FL 33410

655 N Military Trl
Ste 9
West Palm Beach, FL 33415
Phone (561) 721-9723

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1578636833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 SR 7 STE 215",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-791-1630",
            "fax_number": "561-791-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 SR 7 STE 215",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-791-1630",
            "fax_number": "561-791-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "PEDRO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-04-08",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374513900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.