Provider Demographics
NPI:1518133784
Name:SANCHEZ-DIU, MONICA P (DMD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:P
Last Name:SANCHEZ-DIU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 CORNER DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5718
Mailing Address - Country:US
Mailing Address - Phone:813-681-9473
Mailing Address - Fax:813-654-0647
Practice Address - Street 1:515 CORNER DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5718
Practice Address - Country:US
Practice Address - Phone:813-681-9473
Practice Address - Fax:813-654-0647
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN211311223P0221X
NYP522571223G0001X
FLDN 21131122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice