Most Relevant Information
Provider Data
| NPI Number: | 1003491739 |
| Provider Name: | RICARDO DE JESUS SANCHEZ MENA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/15/2021 |
| Last Updated: | 03/15/2021 |
Provider Practice Location
1905 NW 82ND AVE
DORAL
FL
331261011
Practice Location Phone/Fax
| Phone: | 7864205924 |
| Fax: | 7865425340 |
Provider Mailing Location
1905 NW 82ND AVE
DORAL
FL
331261011
Provider Mailing Phone/Fax
| Phone: | 7864205924 |
| Fax: | 7865425340 |