Provider Demographics
NPI:1073587010
Name:SANCHEZ-ROBLES, LUIS J (DPM)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:J
Last Name:SANCHEZ-ROBLES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:LUIS
Other - Middle Name:J
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:3165 MCCRORY PL
Mailing Address - Street 2:STE 174
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3727
Mailing Address - Country:US
Mailing Address - Phone:407-423-1234
Mailing Address - Fax:407-517-1040
Practice Address - Street 1:7560 RED BUG LAKE RD STE 2024
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6591
Practice Address - Country:US
Practice Address - Phone:407-679-7444
Practice Address - Fax:407-359-6840
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 2179213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL055212700Medicaid
FLP00114697OtherR/R MEDICARE
FLT93102Medicare UPIN
FLP00114697OtherR/R MEDICARE