Organization Active NPI

Dr Jose Jesus Sanchez MD PA

  • Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1639540214
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR JOSE JESUS SANCHEZ MD PA
Practice address
4011 W Flagler St
Suite 2014
Coral Gables, FL 33134-1643
Phone
(305) 774-1234
Fax
(305) 774-1639
NPI assigned
Oct 8, 2015
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Jose Jesus Sanchez, M.D.
Title
Medical Director
Phone
(305) 804-9326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL Primary

Addresses

Primary practice location

4011 W Flagler St
Suite 2014
Coral Gables, FL 33134-1643

Mailing address

1841 SW 13TH Ave
Miami, FL 33145-1607
Phone (305) 804-9326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160114001731 FL Part B Supplier - Clinic/Group Practice 7012210644 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

4011 W Flagler St
Ste 2014
Coral Gables, FL 33134
Phone (305) 774-1234

1221 71st St
Miami Beach, FL 33141

Practitioners & affiliated clinicians

Practitioners 5

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": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1639540214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 SW 13TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451607",
            "telephone_number": "305-804-9326",
            "fax_number": "888-602-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W FLAGLER ST",
            "address_2": "SUITE 2014",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341643",
            "telephone_number": "305-774-1234",
            "fax_number": "305-774-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSE JESUS SANCHEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-804-9326",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.