Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO 2179 | FL |
NPI | 1073587010 |
---|---|
Provider Name | Luis J Sanchez-Robles |
First Address | Orlando, FL 32803-3727 |
Second Address | Kissimmee, FL 34744-5842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 18/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
055212700 | (05) | FL |
P00114697 | R/R MEDICARE (01) | FL |
T93102 | (02) | FL |