Provider Demographics
NPI:1043542046
Name:MAGDA E. SANCHEZ-VELEZ, M.D., P.A.
Entity Type:Organization
Organization Name:MAGDA E. SANCHEZ-VELEZ, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANCHEZ-VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-913-6602
Mailing Address - Street 1:2332 FALLING ACORN CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4736
Mailing Address - Country:US
Mailing Address - Phone:407-518-7999
Mailing Address - Fax:407-878-4888
Practice Address - Street 1:302 W BASS ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5001
Practice Address - Country:US
Practice Address - Phone:407-518-7999
Practice Address - Fax:407-878-4888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92038207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I38982Medicare UPIN