Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN17191 | FL |
NPI | 1144591751 |
---|---|
Provider Name | Dr. Yoel Sanchez |
First Address | Homestead, FL 33033-2987 |
Second Address | Homestead, FL 33033-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2012 |
Last Update Date | 13/01/2012 |