Provider Demographics
NPI:1801194147
Name:SANCHEZ, RAMON HUGO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:HUGO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 N HABANA AVE
Mailing Address - Street 2:SUITE 32
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7112
Mailing Address - Country:US
Mailing Address - Phone:813-908-0734
Mailing Address - Fax:
Practice Address - Street 1:4600 N HABANA AVE STE 32
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7123
Practice Address - Country:US
Practice Address - Phone:813-423-6515
Practice Address - Fax:813-876-6677
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18,145208D00000X
FLACN395208D00000X
FLME134861208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12259143OtherCAQH
FL536239411315OtherHUMANA
FL14EP9OtherBLUE CROSS BLUE SHIELD