Healthcare Provider Details

I. General information

NPI: 1447707294
Provider Name (Legal Business Name): JOSE RAFAEL SANCHEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOSE RAFAEL SANCHEZ-PEREZ

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 02/22/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYAMON MEDICAL PLAZA 1845 CARR 2 SUITE 105
BAYAMON PR
00959
US

IV. Provider business mailing address

385 AVE FELISA RINCON GAUTIER APT 1101
SAN JUAN PR
00926-6687
US

V. Phone/Fax

Practice location:
  • Phone: 787-785-8981
  • Fax:
Mailing address:
  • Phone: 787-518-9735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number36115
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number36511
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number36115
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: