Provider Demographics
NPI:1114574076
Name:SANCHEZ, DIANA CATHERINE
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:CATHERINE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12278 REGAL LILY LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7249
Mailing Address - Country:US
Mailing Address - Phone:321-682-8463
Mailing Address - Fax:
Practice Address - Street 1:12278 REGAL LILY LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7249
Practice Address - Country:US
Practice Address - Phone:321-682-8463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider