Healthcare Provider Details

I. General information

NPI: 1972525301
Provider Name (Legal Business Name): LUIS PIO SANCHEZ CASO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 CALLE SANTA CRUZ SUITE 309 , INSTITUTO SAN PABLO
BAYAMON PR
00961-7041
US

IV. Provider business mailing address

PO BOX 1246
GUAYNABO PR
00970-1246
US

V. Phone/Fax

Practice location:
  • Phone: 787-740-5583
  • Fax: 787-786-7896
Mailing address:
  • Phone: 787-740-5583
  • Fax: 787-786-7896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number10499
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: