Provider Demographics
NPI:1366440729
Name:SANCHEZ, JANY (MD)
Entity Type:Individual
Prefix:
First Name:JANY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12365 SW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4211
Mailing Address - Country:US
Mailing Address - Phone:305-485-8666
Mailing Address - Fax:305-485-0575
Practice Address - Street 1:13055 SW 42ND ST
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3406
Practice Address - Country:US
Practice Address - Phone:305-485-8666
Practice Address - Fax:305-485-0575
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 83858207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263953000Medicaid
FL263953000Medicaid
FL34325Medicare PIN