Provider Demographics
NPI:1790404853
Name:SANCHEZ MILLAN, PEDRO (CBHCM)
Entity Type:Individual
Prefix:MR
First Name:PEDRO
Middle Name:
Last Name:SANCHEZ MILLAN
Suffix:
Gender:M
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7732 W 29TH WAY APT 101
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7238
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7732 W 29TH WAY
Practice Address - Street 2:APT 101
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-7238
Practice Address - Country:US
Practice Address - Phone:786-445-3129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM.0104000171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator