Provider Demographics
NPI:1851393516
Name:SANCHEZ, WALTER (DC)
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3826 W 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7040
Mailing Address - Country:US
Mailing Address - Phone:305-821-1800
Mailing Address - Fax:305-821-1215
Practice Address - Street 1:3826 W 16TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7040
Practice Address - Country:US
Practice Address - Phone:305-821-1800
Practice Address - Fax:305-821-1215
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4636111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70460Medicare ID - Type UnspecifiedPROVIDER #