Provider Demographics
NPI:1962273342
Name:AGUILA SANCHEZ, HEIDY (APRN)
Entity type:Individual
Prefix:
First Name:HEIDY
Middle Name:
Last Name:AGUILA SANCHEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 HAMMOCKS BLVD STE 122
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3783
Mailing Address - Country:US
Mailing Address - Phone:786-701-8702
Mailing Address - Fax:
Practice Address - Street 1:10201 HAMMOCKS BLVD STE 122
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3783
Practice Address - Country:US
Practice Address - Phone:786-701-8702
Practice Address - Fax:305-397-2669
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030236207R00000X, 363L00000X, 363LF0000X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner