Provider Demographics
NPI:1003391616
Name:SANZ, GEISY DEL CARMEN (PA-C)
Entity Type:Individual
Prefix:
First Name:GEISY
Middle Name:DEL CARMEN
Last Name:SANZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11760 SW 40TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3595
Mailing Address - Country:US
Mailing Address - Phone:305-226-2020
Mailing Address - Fax:305-226-2018
Practice Address - Street 1:11760 SW 40TH ST STE 301
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3595
Practice Address - Country:US
Practice Address - Phone:305-226-2020
Practice Address - Fax:305-226-2018
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085006726363A00000X
FLPA9113488363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant