Provider Demographics
NPI:1659321636
Name:SANCHEZ, WILLIAM EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDUARDO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17429 SW 54TH STREET
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5068
Mailing Address - Country:US
Mailing Address - Phone:954-439-0531
Mailing Address - Fax:954-441-7401
Practice Address - Street 1:2095 W 76TH ST
Practice Address - Street 2:SUITE 108
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1834
Practice Address - Country:US
Practice Address - Phone:954-439-0531
Practice Address - Fax:954-441-7401
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME86153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2703424 00Medicaid
FL2703424 00Medicaid