Provider Demographics
NPI:1336835958
Name:SANCHEZ SANCHEZ, MARJORIE KARINA (SA-C)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:KARINA
Last Name:SANCHEZ SANCHEZ
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11057 W 33RD WAY
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2196
Mailing Address - Country:US
Mailing Address - Phone:786-444-2935
Mailing Address - Fax:
Practice Address - Street 1:11057 W 33RD WAY
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-2196
Practice Address - Country:US
Practice Address - Phone:786-444-2935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16-585246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant