Provider Demographics
NPI:1790671097
Name:SANCHEZ, ALEXANDER MIGUEL
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:MIGUEL
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 CHESTNUT CT
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-8806
Mailing Address - Country:US
Mailing Address - Phone:813-719-0974
Mailing Address - Fax:
Practice Address - Street 1:1214 CHESTNUT CT
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-8806
Practice Address - Country:US
Practice Address - Phone:813-719-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9621280163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergencyGroup - Single Specialty