Provider Demographics
NPI:1316748155
Name:SANCHEZ CORREA, EVELIO (DDS)
Entity type:Individual
Prefix:
First Name:EVELIO
Middle Name:
Last Name:SANCHEZ CORREA
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16860 SW 153RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-6715
Mailing Address - Country:US
Mailing Address - Phone:849-354-0836
Mailing Address - Fax:
Practice Address - Street 1:16860 SW 153RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-6715
Practice Address - Country:US
Practice Address - Phone:849-354-0836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1223G0001X1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice