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Corazon-Panes Sanchez,llc

Pediatrics in Port Deposit, MD. Organization (NPI-2).

NPI number1265257588
StatusActive
Last updated in NPPESNov 21, 2024

Details

NPI
1265257588
Entity type
Organization (NPI-2)
Legal business name
Corazon-Panes Sanchez,llc
Organization subpart
No
Enumeration date
Nov 21, 2024
Certification date
Nov 21, 2024
Last updated
Nov 21, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801

Phone 410-642-9172

Mailing address

20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801

Phone 410-642-9172

Authorized official

Corazon Sanchez
Physician
4438073442

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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