Provider Demographics
NPI:1598962490
Name:SANCHEZ-DELACRUZ, GUILLERMO (MD)
Entity Type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:
Last Name:SANCHEZ-DELACRUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GUILLERMO
Other - Middle Name:
Other - Last Name:SANCHEZ-DE LA CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1928 MORGANS MILL CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-8295
Mailing Address - Country:US
Mailing Address - Phone:407-459-6216
Mailing Address - Fax:
Practice Address - Street 1:1928 MORGANS MILL CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-8295
Practice Address - Country:US
Practice Address - Phone:407-459-6216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98730207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279236200Medicaid
FLAG252YMedicare PIN