MEDICARE: JOSE F SANCHEZ OCASTO SR. 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	208600000X	Surgery Physician	4379	PR

General Provider Information

NPI Number	:	1326029646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE F SANCHEZ OCASTO SR. MD

Provider Business Mailing Address
First Line	:	PO BOX 801112
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-1112
Country	:	US
Telephone Number	:	787-840-7110
Fax Number	:	787-259-5995

Provider Business Practice Location Address
First Line	:	EEDIFICIO PARRA OFICINA 405 PONCE BY PASS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00731
Country	:	US
Telephone Number	:	787-840-7110
Fax Number	:	787-259-5995

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	07/08/2007

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