Provider Demographics
NPI:1003804246
Name:SANCHEZ, EULOGIO J (MD FACC)
Entity Type:Individual
Prefix:MR
First Name:EULOGIO
Middle Name:J
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 POINTE WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5533
Mailing Address - Country:US
Mailing Address - Phone:941-792-1717
Mailing Address - Fax:
Practice Address - Street 1:6100 POINTE WEST BLVD
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-5533
Practice Address - Country:US
Practice Address - Phone:941-792-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0057079207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F81691Medicare UPIN
253462Medicare ID - Type Unspecified