Healthcare Provider Details

I. General information

NPI: 1164470886
Provider Name (Legal Business Name): HECTOR LUIS SANCHEZ RIVERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 FONT MARTELO
HUMACAO PR
00791-3337
US

IV. Provider business mailing address

P.O. BOX 7375
CAGUAS PR
00726-7375
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-3560
  • Fax: 787-852-3538
Mailing address:
  • Phone: 787-744-5414
  • Fax: 787-258-4587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number5654
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: