Provider Demographics
NPI:1811426265
Name:SANCHEZ, MARIA DE JESUS
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DE JESUS
Last Name: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 1:2311 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3223
Mailing Address - Country:US
Mailing Address - Phone:786-706-2246
Mailing Address - Fax:786-709-9388
Practice Address - Street 1:2311 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3223
Practice Address - Country:US
Practice Address - Phone:786-706-2246
Practice Address - Fax:786-709-9388
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17-1752-64979106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician