Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 50986 | CO |
N | 207Q00000X | Family Doctor | ME115049 | FL |
N | 207R00000X | Internist | 50986 | CO |
N | 111NI0900X | Internist | 50986 | CO |
Y | 207R00000X | Internist | ME115049 | FL |
Y | 111NI0900X | Internist | ME115049 | FL |
N | 2084N0400X | Neurologist | 50986 | CO |
N | 2084N0400X | Neurologist | ME115049 | FL |
N | 2084V0102X | Vascular Neurology | 50986 | CO |
N | 2084V0102X | Vascular Neurology | ME115049 | FL |
NPI | 1043532369 |
---|---|
Provider Name | Jose Jesus Sanchez Chavez |
First Address | Miami, FL 33125-1612 |
Second Address | Coral Gables, FL 33134-1643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2010 |
Last Update Date | 31/03/2016 |