Provider Demographics
NPI:1518037399
Name:SANCHEZ-CAZAU MEDICAL GROUP, P.A
Entity Type:Organization
Organization Name:SANCHEZ-CAZAU MEDICAL GROUP, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:SANCHEZ
Authorized Official - Last Name:CAZAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-889-6670
Mailing Address - Street 1:777 EAST 25TH STREET
Mailing Address - Street 2:SUITE 501
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3834
Mailing Address - Country:US
Mailing Address - Phone:305-889-6670
Mailing Address - Fax:305-889-6671
Practice Address - Street 1:777 EAST 25TH STREET
Practice Address - Street 2:SUITE 501
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3834
Practice Address - Country:US
Practice Address - Phone:305-889-6670
Practice Address - Fax:305-889-6671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95970302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277766500Medicaid
FLQ0419Medicare PIN