Department File Number : | M201782258 |
Claim Number : | CLFL3471C |
Date Submitted : | 6/9/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CENTURION MEDICAL LIABILITY PROTECTIVE RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1145017 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | LETIA | SHELTON | |||
Street Address | |||||
3100 SOUTH GESSNER ROAD SUTIE 600 | |||||
City | State | Zip | |||
HOUSTON | TX | 77063 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 353 - 1624 | LSHELTON@PROCLAIMAMERICA.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CARLOS | SANCHEZ PEREZ | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2975 CORAL WAY | ||||
City | State | Zip Code | County | ||
CORAL GABLES | FL | 33145 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL3471 | $2,050,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME70084 | Radiology - interventional |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
CORAL GABLES HOSPITAL | 100183 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/13/2014 | 5/5/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
SURGERY | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient presented for surgery; CTA of the chest was performed;failure to diagnose air found. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILURE TO DIANOSE | |||||
Principal Injury Giving Rise To The Claim | |||||
DEATH | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/27/2017 | 1000000 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 3/27/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Award for plaintiff. | |||||
Date of Payment | |||||
3/27/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $216,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
-UNKNOWN |
Updates | |
No updates found. |
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201884652 |
Claim Number : | C163891 |
Date Submitted : | 3/15/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ADMIRAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
22-2235730 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Padilla | |||
Street Address | |||||
1000 Howard Blvd, Ste. 300 | |||||
City | State | Zip | |||
Mount Laurel | NJ | 08054 | |||
Phone | Ext | Fax | E-Mail Address | ||
(856) 505 - 8115 | dpadilla@admiralins.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CARLOS | G | SANCHEZ PEREZ | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2975 Coral Way | ||||
City | State | Zip Code | County | ||
Miami | FL | 33145 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EO000029577-01 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME70084 | Radiology - interventional |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
CORAL GABLES HOSPITAL | 100183 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/28/2014 | 10/30/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
It is alleged that Dr. Sanchez, along with codefendants, mismanaged the patient resulting in her death. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Interpretation of chest x-ray | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Shortness of breath, wheezing, hypertension and difficulties breathing. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 11/3/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/14/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $171,959 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $51,884 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $16,830 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. CARLOS SANCHEZ PEREZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CARLOS SANCHEZ PEREZ, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).