Provider Demographics
NPI:1558478198
Name:CAZAU, DOLORES SANCHEZ (MD)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:SANCHEZ
Last Name:CAZAU
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 1:777 E 25TH ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3825
Mailing Address - Country:US
Mailing Address - Phone:305-889-6670
Mailing Address - Fax:305-889-6671
Practice Address - Street 1:777 E 25TH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3825
Practice Address - Country:US
Practice Address - Phone:305-889-6670
Practice Address - Fax:305-889-6671
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 95970208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277766500Medicaid
FL277766500Medicaid