Provider Demographics
NPI:1124065693
Name:SANCHEZ, VIRGILIO JR (MD)
Entity type:Individual
Prefix:DR
First Name:VIRGILIO
Middle Name:
Last Name:SANCHEZ
Suffix:JR
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 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:1200 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2402
Practice Address - Country:US
Practice Address - Phone:305-961-2000
Practice Address - Fax:844-722-0042
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0061398207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104439800Medicaid
FLME0061398OtherMEDICAL LICENSE
FLBS3079591OtherDEA
FLME0061398OtherMEDICAL LICENSE
FLF32489Medicare UPIN