Provider Demographics
NPI:1699384974
Name:SANCHEZ, DANIEL RAFAEL (OD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:RAFAEL
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4219 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1709
Mailing Address - Country:US
Mailing Address - Phone:786-247-2148
Mailing Address - Fax:
Practice Address - Street 1:3025 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3207
Practice Address - Country:US
Practice Address - Phone:305-446-3025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV009148-01152W00000X
FLOPC5867152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist