Dr. Rafael Adam Sanchez , MD
Orthopaedic Surgery โข Miami, FL
7800 Sw 87th Ave # A110
Miami, FL 331733570
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Rafael Sanchez is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on April 3, 2017; this date does not establish years in practice.
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Published CMS data list 560 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 97110 โ Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility: 295 service units.
- 97140 โ Therapy procedure using manual technique: 106 service units.
- 99214 โ Established patient outpatient office visit: 35 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 184 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Celecoxib โ 98 prescription fills, including refills.
- Gabapentin โ 34 prescription fills, including refills.
- Cyclobenzaprine Hcl โ 19 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery in Miami, FL (2024, 51 clinicians with data). Median for this group: 315. Middle half: 107 to 848.
Fewer Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: 1,648. Middle half: 432 to 4,712.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 15 in 2023 to 560 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
7800 Sw 87th Ave # A110
Miami, FL 331733570
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Doral, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Ortho Florida Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
55 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $23,829 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $17,074 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
184 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,189 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,108.81 across 18 records.
By nature of payment
- Food and Beverage: $757.77 across 16 records.
- Travel and Lodging: $351.04 across 2 records.
Reporting-company totals (3 largest of 6)
- Stryker Corporation: $771.43 across 10 records.
- DePuy Synthes Sales Inc.: $186.65 across 3 records.
- BIOTRONIK NRO, Inc.: $86.61 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sanchez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sanchez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Miami and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery in Miami, FL (2024, 51 clinicians with data). Median for this group: 315. Middle half: 107 to 848.
Fewer Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: 1,648. Middle half: 432 to 4,712.
Medicare-allowed amount
Close to the middle for clinicians listed under Orthopaedic Surgery in Miami, FL (2024, 51 clinicians with data). Median for this group: $36,736. Middle half: $12,362 to $89,113.
A lower Medicare-allowed amount than 80% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: $111,234. Middle half: $38,225 to $238,999.
Paid by Medicare
Close to the middle for clinicians listed under Orthopaedic Surgery in Miami, FL (2024, 51 clinicians with data). Median for this group: $28,608. Middle half: $8,843 to $67,661.
A lower Medicare payment amount than 80% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: $83,613. Middle half: $27,846 to $181,468.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Orthopaedic Surgery in Miami, FL (2024, 52 clinicians with data). Median for this group: 173. Middle half: 73 to 452.
Fewer Part D prescriptions than 60% of clinicians listed under Orthopaedic Surgery in Florida (2024, 886 clinicians with data). Median for this group: 263. Middle half: 82 to 561.
Part D drug cost
Close to the middle for clinicians listed under Orthopaedic Surgery in Miami, FL (2024, 52 clinicians with data). Median for this group: $1,855. Middle half: $672 to $6,204.
Close to the middle for clinicians listed under Orthopaedic Surgery in Florida (2024, 886 clinicians with data). Median for this group: $2,152. Middle half: $610 to $6,138.
92 active clinicians are listed under Orthopaedic Surgery with a practice address in Miami, FL (1,473 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Miami
19.6% of these 92 clinicians have the CMS telehealth indicator.
63% of these 92 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services went from 15 in 2023 to 560 in 2024.
- 2023: 15
- 2024: 560
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Medicare-allowed amount
Medicare-allowed amount increased 1076% from $2,027 in 2023 to $23,829 in 2024.
- 2023: $2,027
- 2024: $23,829
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Paid by Medicare
Paid by Medicare increased 957% from $1,615 in 2023 to $17,074 in 2024.
- 2023: $1,615
- 2024: $17,074
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 13 in 2023 to 184 in 2024.
- 2023: 13
- 2024: 184
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30-day fills
30-day fills went from 13 in 2023 to 184 in 2024.
- 2023: 13
- 2024: 184
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Part D drug cost
Part D drug cost went from $316 in 2023 to $2,189 in 2024.
- 2023: $316
- 2024: $2,189
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $617.21 in 2020 to $1,108.81 in 2025.
- 2020: $617.21
- 2021: $1,613.00
- 2023: $2,650.63
- 2024: $1,040.30
- 2025: $1,108.81
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 18 records totaling $1,108.81.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
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BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION | General | $206.54 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION | General | $144.85 |
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
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BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION | General | $144.50 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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MOTOBAND | General | $94.87 |
| BIOTRONIK NRO, Inc. |
Food and Beverage
In-kind items and services
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Prospera | General | $69.62 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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T2 ALPHA | General | $68.40 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION | General | $56.60 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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NA | General | $56.16 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION | General | $47.12 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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MONOVISC | General | $35.62 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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โ | General | $34.56 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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ALPHAVENT | General | $27.85 |
| Electronic Waveform Lab, Inc. |
Food and Beverage
Cash or cash equivalent
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โ | General | $23.00 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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Pico 14 | General | $22.72 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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PANGEA | General | $21.41 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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PANGEA | General | $19.60 |
| Bioventus LLC |
Food and Beverage
In-kind items and services
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EXOGEN ULTRASOUND BONE HEALING SYSTEM | General | $18.40 |
| BIOTRONIK NRO, Inc. |
Food and Beverage
In-kind items and services
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Prospera | General | $16.99 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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97110
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
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295 | 11 | $184.00 | $24.73 |
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97140
Therapy procedure using manual technique, each 15 minutes
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106 | 11 | $170.00 | $21.08 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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35 | 24 | $824.00 | $134.46 |
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73030
X-ray of shoulder, minimum of 2 views
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26 | 17 | $222.00 | $36.10 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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25 | 18 | $583.00 | $95.46 |
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73010
X-ray of shoulder blade
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16 | 13 | $153.00 | $24.98 |
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73564
X-ray of knee, 4 or more views
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16 | 13 | $297.00 | $46.22 |
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20610
Aspiration and/or injection of fluid from large joint
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15 | 11 | $494.13 | $76.15 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
15 | 15 | $1088.00 | $178.52 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
11 | 11 | $739.00 | $119.00 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Celecoxib | Celecoxib | 98 | 2,565 | $1,438.51 | 75 |
| Gabapentin | Gabapentin | 34 | 480 | $173.20 | 22 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 19 | 430 | $92.11 | 17 |
| Oxycodone Hcl | Oxycodone Hcl | 19 | 58 | $80.44 | 19 |
| Diclofenac Sodium | Diclofenac Sodium | 14 | 420 | $404.75 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-11-06NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20230919001123
FL
2769846146
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ortho Florida Llc
11750 Sw 40 St, Miami, FL 331753530
Phone: 3052233000
Ortho Florida Llc
3905 Nw 107th Ave, Doral, FL 331782785
Ortho Florida Llc
651 E 25 St, Hialeah, FL 330133814
Phone: 3058354370
Ortho Florida Llc
6125 Sw 31st St, Miami, FL 331553003
Phone: 3056666511
Ortho Florida Llc
3663 S Miami Ave, Miami, FL 331334253
Phone: 3058544400
Ortho Florida Llc
5000 University Dr, Coral Gables, FL 331462008
Phone: 7863083000
Secondary Practice Locations
3905 Nw 107th Ave Ste 403
Doral, FL 331782785
Phone: 3055962828
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
MDPHD
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery - Foot and Ankle Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 7800 SW 87TH AVE # A110, MIAMI, FL 331733570 (Tel: 3055962828)
Registered at 7800 SW 87TH AVE # A110, MIAMI, FL 331733570 (Tel: 3055962828)
Orthopaedic Surgery (license number reported to NPPES: FL ME164059)
NPI status registered as active in NPPES database
Registered at 1611 NW 12TH AVE, MIAMI, FL 331361005 (Tel: 3055851315)
Registered at 1218 IRVING ST NW, WASHINGTON, DC 200102416 (Tel: 3053931390)
Recorded as RAFAEL SANCHEZ, M.D.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Miami
- Dr. Richard Henrys, MD
- Dr. Martin Roche, MD
- Matthew Ciminero
- Ananth Eleswarapu
- Michael Baraga
- Dr. Jose Ponce De Leon, MD
Mailing Address
7800 Sw 87th Ave # A110
Miami, FL 331733570
Phone: 3055962828