Healthcare Provider Details

I. General information

NPI: 1629955604
Provider Name (Legal Business Name): MEDFACIAL SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYAMON MEDICAL PLAZA 1845 CARR 2 SUITE 105
BAYAMON PR
00959-6006
US

IV. Provider business mailing address

CONDOMINIO PUERTO PASEOS 385 AVENIDA DONA FELISA APT 1101
SAN JUAN PR
00926
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOSE R SANCHEZ PEREZ SR.
Title or Position: DR.
Credential: MD
Phone: 787-785-8981