Provider Demographics
NPI:1821456450
Name:SANCHEZ, ALBERTO (OD)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
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 1:16448 SW 67TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5591
Mailing Address - Country:US
Mailing Address - Phone:786-250-3217
Mailing Address - Fax:786-250-3249
Practice Address - Street 1:15601 SW 127TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1406
Practice Address - Country:US
Practice Address - Phone:786-250-3217
Practice Address - Fax:786-250-3249
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5163152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist