Provider Demographics
NPI:1841627304
Name:SANCHEZ, MAGDALENA
Entity type:Individual
Prefix:MS
First Name:MAGDALENA
Middle Name:
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 1:7021 N HUBERT AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3132
Mailing Address - Country:US
Mailing Address - Phone:813-767-9825
Mailing Address - Fax:
Practice Address - Street 1:3924 PREMIER NORTH DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-8795
Practice Address - Country:US
Practice Address - Phone:813-901-3411
Practice Address - Fax:813-882-3689
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator