Provider Demographics
NPI:1740327360
Name:SANCHEZ, LEOPOLDO MOISES (PA)
Entity type:Individual
Prefix:
First Name:LEOPOLDO
Middle Name:MOISES
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7891 W FLAGLER ST # 116
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2303
Mailing Address - Country:US
Mailing Address - Phone:305-968-7199
Mailing Address - Fax:
Practice Address - Street 1:7891 W FLAGLER ST # 116
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2303
Practice Address - Country:US
Practice Address - Phone:305-968-7199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical