Provider Demographics
NPI:1780449595
Name:PEREZ SANCHEZ, MADAY
Entity type:Individual
Prefix:
First Name:MADAY
Middle Name:
Last Name:PEREZ SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14441 SW 156TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4603
Mailing Address - Country:US
Mailing Address - Phone:805-570-6149
Mailing Address - Fax:
Practice Address - Street 1:14441 SW 156TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4603
Practice Address - Country:US
Practice Address - Phone:805-570-6149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health