Provider Demographics
NPI:1609944602
Name:SANCHEZ-VELEZ, MAGDA ENID (MD)
Entity Type:Individual
Prefix:
First Name:MAGDA
Middle Name:ENID
Last Name:SANCHEZ-VELEZ
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 1:52 RILEY RD # 429
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5420
Mailing Address - Country:US
Mailing Address - Phone:407-913-6602
Mailing Address - Fax:201-856-6857
Practice Address - Street 1:302 W BASS ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5001
Practice Address - Country:US
Practice Address - Phone:407-518-7999
Practice Address - Fax:407-878-4888
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 92038207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI38982Medicare UPIN