Provider Demographics
NPI:1992895890
Name:SANCHEZ, CARLOS A (DDS)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 SW 27TH AVE
Mailing Address - Street 2:#201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2164
Mailing Address - Country:US
Mailing Address - Phone:305-443-3131
Mailing Address - Fax:786-497-0246
Practice Address - Street 1:2510 SW 27TH AVE
Practice Address - Street 2:#201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2164
Practice Address - Country:US
Practice Address - Phone:305-443-3131
Practice Address - Fax:786-497-0246
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL109681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice