Provider Demographics
NPI:1306291372
Name:SANCHEZ, CARLOS IVAN (MD,CRNA,RN)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:IVAN
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD,CRNA,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 HACIENDA SAN JOSE
Mailing Address - Street 2:VILLA CARIBE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-629-4502
Mailing Address - Fax:
Practice Address - Street 1:11913 AUTUMN FERN LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827
Practice Address - Country:US
Practice Address - Phone:407-288-3785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9451817367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered