Provider Demographics
NPI:1225069776
Name:SANCHEZ, CARLOS G (MD)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:G
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2975 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3205
Mailing Address - Country:US
Mailing Address - Phone:305-456-7424
Mailing Address - Fax:786-616-8700
Practice Address - Street 1:2975 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3205
Practice Address - Country:US
Practice Address - Phone:305-456-7424
Practice Address - Fax:786-616-8700
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME700842085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255039300Medicaid
FL024370900Medicaid
FL255039300Medicaid