Healthcare Provider Details

I. General information

NPI: 1679482327
Provider Name (Legal Business Name): NILMARYS SANCHEZ PAGAN I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CALLE B
HUMACAO PR
00791-3606
US

IV. Provider business mailing address

PO BOX 8506
HUMACAO PR
00792-8506
US

V. Phone/Fax

Practice location:
  • Phone: 939-254-5855
  • Fax:
Mailing address:
  • Phone: 939-254-5855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0086869
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: