MEDICARE: VICENTE R. SANCHEZ QUILES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	5065	PR

General Provider Information

NPI Number	:	1043334683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICENTE R. SANCHEZ QUILES MD

Provider Business Mailing Address
First Line	:	1901 CALLE SAUCO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6720
Country	:	US
Telephone Number	:	787-530-4254
Fax Number	:	787-764-8548

Provider Business Practice Location Address
First Line	:	1901 CALLE SAUCO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6720
Country	:	US
Telephone Number	:	787-530-4254
Fax Number	:	787-764-8548

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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