Provider Demographics
NPI:1023193984
Name:SANCHEZ, LYDIA ENID (MD)
Entity type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:ENID
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5575 S SEMORAN BLVD STE 38
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-1782
Mailing Address - Country:US
Mailing Address - Phone:407-961-2213
Mailing Address - Fax:
Practice Address - Street 1:5575 S SEMORAN BLVD STE 38
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-1782
Practice Address - Country:US
Practice Address - Phone:407-961-2213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12644207R00000X
FLME134751207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLLE883OtherMEDICARE
FL102865800Medicaid
PR212646OtherPREFERRED
PR9180322OtherHHP
PR20256OtherSSS
PR43-12644OtherUIA
PR7351OtherIMC
PR9000257OtherCRUZ AZUL
PR7351OtherIMC
PRH55292Medicare UPIN