Sony Gary Sanon, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA003363 Issued in FL

Practice address

18802 SW 55 St
Miramar, FL 33029-6291

Phone

(305) 978-5069

Fax

(954) 442-2545

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1952422693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 NE 167TH ST",
            "address_2": "UNIT 102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623400",
            "telephone_number": "305-978-5069",
            "fax_number": "954-442-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802 SW 55 ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296291",
            "telephone_number": "305-978-5069",
            "fax_number": "954-442-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANON",
        "first_name": "SONY",
        "middle_name": "GARY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA003363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Sanchez
• Marisol Sanchez
• Roderick Sanchez, OT
• Nicole Sandoval
• Gaelle Sanon, BEHAVIOR TECHNICIAN
• Melisa B Santana Arias
• Norma D Santana Basulto
• Leslie Maria Santana, PHARMD
• Skarlet Santana
• Samantha Santander

• Medical Physician Assistant in Miramar, FL
• Providers in Miramar, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.