Organization Active NPI

Sanchez & Tamayo, P.a.

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1912048075
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1965 Issued in FL
Legal business name
SANCHEZ & TAMAYO, P.A.
Practice address
3025 Coral Way
Coral Gables, FL 33145
Phone
(305) 446-3025
NPI assigned
Feb 10, 2007
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Rafael F SanchezNPI 1093856155
Title
President
Phone
(305) 446-3025

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
Optometrist 152W00000X OPC 1965 FL Primary

Addresses

Primary practice location

3025 Coral Way
Coral Gables, FL 33145

Mailing address

4260 SW 12TH St
Miami, FL 33134-2711
Phone (305) 447-9638

Other practice location 1

3390 Coral Way
Miami, FL 33145-2236
Phone (305) 445-1521

Other practice location 2

12859 SW 88th St
Miami, FL 33186-1707
Phone (305) 200-3146

Other identifiers 1

IdentifierTypeStateIssuer
620415500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510001552 FL Part B Supplier - Clinic/Group Practice 3678562014 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL; Hialeah, FL

National Provider Directory

National Provider Directory

Locations

1777 W 49th St
Hialeah, FL 33012
Phone (305) 825-7227

3025 Coral Way
Miami, FL 33145
Phone (305) 446-3025

3390 SW 22nd St
Miami, FL 33145
Phone (305) 443-4636

Practitioners & affiliated clinicians

Practitioners 2

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": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1912048075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342711",
            "telephone_number": "305-447-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-446-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3390 Coral Way",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331452236",
            "country_code": "US",
            "telephone_number": "305-445-1521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12859 SW 88th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331861707",
            "country_code": "US",
            "telephone_number": "305-200-3146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANCHEZ & TAMAYO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-446-3025"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620415500",
            "state": "FL"
        }
    ],
    "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 Jul 17, 2019; 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.