Provider Demographics
NPI:1003375239
Name:TOVAR SANCHEZ, KATHERINE DEL VALLE (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DEL VALLE
Last Name:TOVAR SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3632 NW 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-5344
Mailing Address - Country:US
Mailing Address - Phone:305-900-5888
Mailing Address - Fax:786-422-1509
Practice Address - Street 1:3632 NW 25TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-5344
Practice Address - Country:US
Practice Address - Phone:305-900-5888
Practice Address - Fax:786-422-1509
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME159463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine