Provider Demographics
NPI:1760440887
Name:SANCHEZ, SORAYA P (APRN)
Entity Type:Individual
Prefix:MS
First Name:SORAYA
Middle Name:P
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4612 N HABANA AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7101
Mailing Address - Country:US
Mailing Address - Phone:813-875-9000
Mailing Address - Fax:813-874-3278
Practice Address - Street 1:4612 N HABANA AVE FL 2
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7101
Practice Address - Country:US
Practice Address - Phone:813-875-9000
Practice Address - Fax:813-874-3278
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1326642363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14363001OtherCITRUS HEALTH
FL22661OtherAVMED
FL1210679OtherAETNA
FL0118255OtherGHI
FL176468283681OtherHUMANA
FL218908590OtherTRICARE
FL42448OtherBLUE CROSS BLUE SHIELD
FL1018644OtherCAREPLUS
FL2250675OtherCIGNA
FL274844400Medicaid
FLDE6354OtherRR MEDICARE
FL2504898OtherUNITED HEALTHCARE
FL1210679OtherAETNA
FL176468283681OtherHUMANA