Provider Demographics
NPI:1508148883
Name:JORGE A FERNANDEZ-SANCHEZ, MD, PA
Entity Type:Organization
Organization Name:JORGE A FERNANDEZ-SANCHEZ, MD, PA
Other - Org Name:MIAMI OB/GYN DREAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERNANDEZ-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-819-1104
Mailing Address - Street 1:7100 W 20 AVE, SUITE 803
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-819-1104
Mailing Address - Fax:305-819-1107
Practice Address - Street 1:9010 SW 59TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1611
Practice Address - Country:US
Practice Address - Phone:305-819-1104
Practice Address - Fax:305-819-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 108827174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty