Healthcare Provider Details

I. General information

NPI: 1013916741
Provider Name (Legal Business Name): LETICIA DOLZ SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CALLE YAGUEZ ESTANCIAS DEL RIO
AGUAS BUENAS PR
00703-9620
US

IV. Provider business mailing address

10 CALLE YAGUEZ ESTANCIAS DEL RIO
AGUAS BUENAS PR
00703-9620
US

V. Phone/Fax

Practice location:
  • Phone: 787-747-1192
  • Fax: 787-748-2085
Mailing address:
  • Phone: 787-747-1192
  • Fax: 787-748-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number6135
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: