Provider Demographics
NPI:1235525783
Name:SANCHEZ, GABRIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
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 1:10716 SW 123RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-3732
Mailing Address - Country:US
Mailing Address - Phone:954-812-0159
Mailing Address - Fax:
Practice Address - Street 1:9725 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-2806
Practice Address - Country:US
Practice Address - Phone:305-209-0144
Practice Address - Fax:786-319-4603
Is Sole Proprietor?:No
Enumeration Date:2015-04-11
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAETL-60032084P0800X
MO20210152402084P0800X
NC2020-035712084P0800X
VA01012698962084P0800X
FLME1363822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry