Provider Demographics
NPI:1033133806
Name:SANCHEZ AVILA, MARIA DEL PILAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL PILAR
Last Name:SANCHEZ AVILA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3223 HILLSDALE LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7561
Mailing Address - Country:US
Mailing Address - Phone:407-201-2576
Mailing Address - Fax:
Practice Address - Street 1:3223 HILLSDALE LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7561
Practice Address - Country:US
Practice Address - Phone:407-201-2576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN492208000000X, 208D00000X
PR14568208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113080100Medicaid
FLACN492Medicaid