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ROBERTO WILLIAM SANCHEZ GARCIA R.N.
NPI 1043860240
Nurse Practitioner - Psychiatric/Mental Health in Hialeah, FL

Active since September 19, 2019PECOS Enrolled
4385 W 16TH AVE, HIALEAH, FL 33012(305) 824-0637(305) 824-0628 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2025, May 2, 2022, Sep 19, 2019 (3 updates tracked since 2019).

About Roberto William Sanchez Garcia R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERTO WILLIAM SANCHEZ GARCIA R.N. (NPI 1043860240) is an individual psychiatric/mental health provider in Hialeah, Florida, licensed in Florida (APRN11019340) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hialeah, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043860240
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROBERTO WILLIAM SANCHEZ GARCIACredential: R.N.
Location Address4385 W 16TH AVEHialeah, FL 33012-7628
Mailing Address4385 W 16th AveHialeah, FL 33012-7628 · (305) 824-0637 · Fax (305) 824-0628
Phone(305) 824-0637
Fax(305) 824-0628
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 19, 2019
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1043860240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11019340
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9515019 (FL)
4385 W 16TH AVE, Hialeah, FL 33012
Open in Google Maps ↗

Secondary Practice Location 1

Location 13908 W 12th AveHialeah, FL 33012-4105 · Phone (305) 400-8904 · Fax (786) 703-3924

Other Identifiers 1

Medicaid104250900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberto William Sanchez Garcia R.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395123830
PECOS Enrollment IDI20220613000006
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Roberto Sanchez Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healing Touch C & c Inc
Same address
Health Service
4385 W 16TH AVE
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
  • 33 clinicians in this Medicare group
NPI 1720026628 (305) 824-0637
Nicole 14 Health LLC
12 mi
Psychiatric/Mental Health
16361 NW 20TH ST
Pembroke Pines, FL 33028
  • Reassigned Medicare billing, Florida enrollment
NPI 1093674285 (786) 803-1839

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILEANA ALVAREZ VELAZQUEZ CASE MANAGER SUPV
Social Worker
4385 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 824-0637
IVON LEON ARNP
Nurse Practitioner (Psychiatric/Mental Health)
4385 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 824-0637
ODANIA BONILLA APRN
Nurse Practitioner (Family)
4385 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 824-0637
YELEINNIS ALCORTA
Social Worker
4385 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 824-0637
SAHILY ANDREU GUERRA
Nurse Practitioner (Psychiatric/Mental Health)
4385 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (786) 678-2131
NIDIS VIVENES
Social Worker (Clinical)
4385 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 824-0637
BARBARA NAIR PEREZ DE BANDRES RN
Registered Nurse
4385 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 824-0637
FRANCISCO D HERNANDEZ APRN
Nurse Practitioner (Family)
4385 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 824-0637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Sanchez Garcia's NPI number?

The NPI number for Roberto Sanchez Garcia is 1043860240. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Roberto Sanchez Garcia located?

Roberto Sanchez Garcia practices at 4385 W 16th Ave, Hialeah, FL 33012. The listed phone number is (305) 824-0637.

What is Roberto Sanchez Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roberto Sanchez Garcia enrolled in Medicare?

Yes. Roberto Sanchez Garcia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roberto Sanchez Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Sanchez Garcia reassigns Medicare benefits to 2 organizations: Healing Touch C & c Inc (Hialeah, FL) and Nicole 14 Health LLC (Pembroke Pines, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberto Sanchez Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Sanchez Garcia accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Roberto Sanchez Garcia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roberto Sanchez Garcia was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.