Provider Demographics
NPI:1750547162
Name:SANCHEZ RAUDER, RAMON (MD)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:SANCHEZ RAUDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8950 N KENDALL DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2144
Mailing Address - Country:US
Mailing Address - Phone:305-595-4070
Mailing Address - Fax:305-595-3526
Practice Address - Street 1:11760 SW 40 STREET
Practice Address - Street 2:SUITE 654
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8103
Practice Address - Country:US
Practice Address - Phone:786-615-6123
Practice Address - Fax:786-615-6103
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 111662207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004869600Medicaid