Provider Demographics
NPI:1104244573
Name:SANCHEZ, VICTOR D (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:D
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 LAKE UNDERHILL RD
Mailing Address - Street 2:APT P
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-7060
Mailing Address - Country:US
Mailing Address - Phone:845-863-6250
Mailing Address - Fax:
Practice Address - Street 1:52 WEST UNDERWOOD STREET
Practice Address - Street 2:MP44
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806
Practice Address - Country:US
Practice Address - Phone:845-863-6250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program